MARIANO V TOLENTINO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

MARIANO V

Last Name

TOLENTINO JR

Suffix

Business Name

MARIANO V TOLENTINO JR MD

Original Issue Date

12/10/1987

Effective Date

12/10/1987

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020