ROLANDO R CAMACHO SALAZAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060360

License Status

CANCELLED

Business

Title

First Name

ROLANDO

Middle

Last Name

CAMACHO SALAZAR

Business Name

ROLANDO R CAMACHO SALAZAR MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014