STEPHANIE TOLENTINO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054773

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Last Name

TOLENTINO

Business Name

STEPHANIE TOLENTINO DO

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/07/2008