ERICH GLENN CUSTODIO ACEBEDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

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

03/12/2009

Effective Date

01/08/2016

Expiration Date

07/31/2017

City

LAS VEGAS

State

Zip

89141

County

NEVADA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017