PAUL ALLEN DICAMILLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177346

License Status

ACTIVE

Business

Title

First Name

PAUL

Middle

ALLEN

Last Name

DICAMILLO

Business Name

PAUL ALLEN DICAMILLO MD

Original Issue Date

09/26/2025

Effective Date

09/26/2025

Expiration Date

07/31/2026

City

MUSKOGEE

State

Zip

74403

Ever Disciplined

LastModifiedDate

09/26/2025