IRLNA INGRID TANTCHOU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

IRLNA

Middle

INGRID

Last Name

TANTCHOU

Business Name

IRLNA INGRID TANTCHOU MD

Original Issue Date

08/22/2017

Effective Date

08/22/2017

Expiration Date

09/30/2020

City

ERIE

State

Zip

16506

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021