CEZAR BATONGBACAL TOLENTINO JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048756

License Status

CANCELLED

Business

Title

First Name

CEZAR

Middle

BATONGBACAL

Last Name

TOLENTINO

Suffix

Business Name

CEZAR BATONGBACAL TOLENTINO JR MD

Original Issue Date

07/16/2004

Effective Date

07/16/2004

Expiration Date

07/15/2007

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006