ERWIN TOLENTINO CABACUNGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

ERWIN

Middle

TOLENTINO

Last Name

CABACUNGAN

Suffix

Business Name

ERWIN TOLENTINO CABACUNGAN MD

Original Issue Date

06/15/1999

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014