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*****54

License Status

NOT RENEWED

Business

First Name

MARIANO V

Last Name

TOLENTINO JR

Suffix

Business Name

MARIANO V TOLENTINO JR MD

Original Issue Date

08/27/1997

Effective Date

08/27/1997

Expiration Date

07/31/2005

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020