FELISMENO G KINTANAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

FELISMENO G

Last Name

KINTANAR

Suffix

Business Name

FELISMENO G KINTANAR MD

Original Issue Date

02/25/2008

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020