CUSTODIO L LIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058990

License Status

NOT RENEWED

Business

First Name

CUSTODIO L

Last Name

LIM

Suffix

Business Name

CUSTODIO L LIM MD

Original Issue Date

07/20/1979

Effective Date

08/04/2014

Expiration Date

07/31/2017

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017