GERARD ANTHONY P TOLENTINO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

GERARD

Middle

ANTHONY P

Last Name

TOLENTINO

Business Name

GERARD ANTHONY P TOLENTINO

Original Issue Date

07/31/2003

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023