PATRICK J CAMODECA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

PATRICK J

Last Name

CAMODECA

Business Name

PATRICK J CAMODECA

Original Issue Date

10/12/2005

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020