PATRICK J CAMODECA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

PATRICK J

Last Name

CAMODECA

Business Name

PATRICK J CAMODECA

Original Issue Date

10/12/2005

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023