PAULINE MENDOZA CAMACHO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

PAULINE

Middle

MENDOZA

Last Name

CAMACHO

Suffix

Business Name

PAULINE MENDOZA CAMACHO MD

Original Issue Date

05/28/1998

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023