PATRICK J CAMODECA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

PATRICK J

Last Name

CAMODECA

Business Name

PATRICK J CAMODECA

Original Issue Date

06/20/2008

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020