PERCIVAL PELAYO TIONGSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

PERCIVAL PELAYO

Last Name

TIONGSON

Suffix

Business Name

PERCIVAL PELAYO TIONGSON MD

Original Issue Date

11/01/1984

Effective Date

07/08/2014

Expiration Date

07/31/2017

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017