MARIANO V TOLENTINO JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

MARIANO V

Last Name

TOLENTINO JR

Suffix

Business Name

MARIANO V TOLENTINO JR MD

Original Issue Date

04/23/1997

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023