KENNETH B CAMACHO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

CAMACHO

Suffix

Business Name

KENNETH B CAMACHO MD

Original Issue Date

02/07/2002

Effective Date

05/28/2008

Expiration Date

07/31/2011

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020