TINA YUN MANTANONA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062182

License Status

EXPIRED

Business

Title

First Name

TINA

Middle

YUN

Last Name

MANTANONA

Business Name

TINA YUN MANTANONA MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015