EILEEN GRACE TENGCO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128877

License Status

NOT RENEWED

Business

Title

First Name

EILEEN

Middle

GRACE

Last Name

TENGCO

Business Name

EILEEN GRACE TENGCO DO

Original Issue Date

08/29/2011

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017