KENNETH B CAMACHO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

CAMACHO

Suffix

Business Name

KENNETH B CAMACHO MD

Original Issue Date

02/15/2000

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023