MARLENE J TANQUILUT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

MARLENE J

Last Name

TANQUILUT

Suffix

Business Name

MARLENE J TANQUILUT MD

Original Issue Date

06/24/1991

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023