RACHELLE CAMAYA CENTENO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055967

License Status

EXPIRED

Business

Title

First Name

RACHELLE

Middle

CAMAYA

Last Name

CENTENO

Business Name

RACHELLE CAMAYA CENTENO DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

07/15/2014

City

TINLEY PARK

State

Zip

60487

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/13/2015