BENEDICT O TANBONLIONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072164

License Status

ACTIVE

Business

First Name

BENEDICT O

Last Name

TANBONLIONG

Suffix

Business Name

BENEDICT O TANBONLIONG MD

Original Issue Date

12/23/1985

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

04/29/2023