ANTHONY TOMAS TANTOCO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059161

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Middle

TOMAS

Last Name

TANTOCO

Business Name

ANTHONY TOMAS TANTOCO MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2015

City

NORTHBROOK

State

Zip

60062

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014