PERCIVAL PELAYO TIONGSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

PERCIVAL PELAYO

Last Name

TIONGSON

Suffix

Business Name

PERCIVAL PELAYO TIONGSON MD

Original Issue Date

08/07/2007

Effective Date

08/07/2007

Expiration Date

07/31/2008

City

CHESTER

State

Zip

62233

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017