DAVID W CAMACHO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

DAVID W

Last Name

CAMACHO JR

Suffix

Business Name

DAVID W CAMACHO JR MD

Original Issue Date

06/09/1993

Effective Date

06/09/1993

Expiration Date

07/31/1996

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006