ERICH GLENN CUSTODIO ACEBEDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122547

License Status

NOT RENEWED

Business

First Name

ERICH GLENN

Middle

CUSTODIO

Last Name

ACEBEDO

Suffix

Business Name

ERICH GLENN CUSTODIO ACEBEDO MD

Original Issue Date

02/03/2009

Effective Date

01/08/2016

Expiration Date

07/31/2017

City

LAS VEGAS

State

Zip

89141

County

NEVADA

Ever Disciplined

LastModifiedDate

11/01/2017