PATRICK J CAMODECA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

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

06/06/2018

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021