RUTH DOMAZET TANGONAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160631

License Status

ACTIVE

Business

Title

First Name

RUTH

Middle

DOMAZET

Last Name

TANGONAN

Business Name

RUTH DOMAZET TANGONAN MD

Original Issue Date

05/23/2022

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2024