MALCOLM ALLAN TENGBLAD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED OSTEOPATH/OBSTETRICIAN

License Number

055000125

License Status

NOT RENEWED

Business

First Name

MALCOLM ALLAN

Last Name

TENGBLAD DO

Business Name

MALCOLM ALLAN TENGBLAD DO

Original Issue Date

07/29/1936

Effective Date

07/29/1936

City

CHICAGO

State

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006