ROGER TOLENTINO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

ROGER

Last Name

TOLENTINO

Business Name

ROGER TOLENTINO

Original Issue Date

01/01/1997

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/10/2011