NATY M TOLENTINO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

NATY M

Last Name

TOLENTINO

Business Name

NATY M TOLENTINO

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006