ANTONIO CAMACHO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

ANTONIO

Last Name

CAMACHO

Suffix

Business Name

ANTONIO CAMACHO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

WILLOWBROOK

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1982000010

Action

Revocation

Discipline Start Date

09/25/1985