CUSTODIO L LIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

CUSTODIO L

Last Name

LIM

Suffix

Business Name

CUSTODIO L LIM MD

Original Issue Date

03/18/1986

Effective Date

03/18/1986

Expiration Date

07/31/1987

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017