LOLITA T TUMANENG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046652

License Status

INACTIVE

Business

First Name

LOLITA T

Last Name

TUMANENG

Suffix

Business Name

LOLITA T TUMANENG MD

Original Issue Date

11/16/1972

Effective Date

11/16/1972

Expiration Date

07/31/1990

City

OAKBROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006