BENEDICT O TANBONLIONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

BENEDICT O

Last Name

TANBONLIONG

Suffix

Business Name

BENEDICT O TANBONLIONG MD

Original Issue Date

05/19/1987

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023