License holder summary

CAMIA ACEVEDO CUSTODIO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CAMIA ACEVEDO CUSTODIO is ST JOSEPH HOSPITAL AT MARSHALL COUNTY, 1915 LAKE AVENUE, PLYMOUTH IN 46563. This licensed professional license is not current. The license was granted 02/18/1994 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

CAMIA ACEVEDO CUSTODIO
Controlled Substance Registration - Physician
License number
01023123B
Date granted
02/18/1994
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOSEPH HOSPITAL AT MARSHALL COUNTY, 1915 LAKE AVENUE, PLYMOUTH IN 46563
indianalicensing.org
ID 5910366
LAST UPDATED 2024-03-04 09:37:30 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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