ANTHONY TOMAS TANTOCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

ANTHONY

Middle

TOMAS

Last Name

TANTOCO

Business Name

ANTHONY TOMAS TANTOCO MD

Original Issue Date

03/26/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023