ANGELICA L TOLENTINO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047624

License Status

EXPIRED

Business

First Name

ANGELICA

Middle

Last Name

TOLENTINO

Suffix

Business Name

ANGELICA L TOLENTINO DO

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/30/2007

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007