GREGORIO M TOLENTINO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

GREGORIO M

Last Name

TOLENTINO JR

Suffix

Business Name

GREGORIO M TOLENTINO JR MD

Original Issue Date

01/01/1997

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

BLUE ISLAND

State

Zip

60406

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021