MARLENE J TANQUILUT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024517

License Status

EXPIRED

Business

First Name

MARLENE J

Last Name

TANQUILUT

Suffix

Business Name

MARLENE J TANQUILUT MD

Original Issue Date

08/15/1989

Effective Date

08/15/1989

Expiration Date

08/11/1992

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006