TINA YUN MANTANONA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

Title

First Name

TINA

Middle

YUN

Last Name

MANTANONA

Business Name

TINA YUN MANTANONA MD

Original Issue Date

09/05/2017

Effective Date

09/01/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60640

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023