LEONARDO G TAN-GATUE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045390

License Status

INACTIVE

Business

First Name

LEONARDO G

Last Name

TAN-GATUE

Suffix

Business Name

LEONARDO G TAN-GATUE MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1990

City

WOODBRIDGE

State

Zip

22191

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006