ERWIN TOLENTINO CABACUNGAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100316

License Status

INACTIVE

Business

First Name

ERWIN

Middle

TOLENTINO

Last Name

CABACUNGAN

Suffix

Business Name

ERWIN TOLENTINO CABACUNGAN MD

Original Issue Date

06/15/1999

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/08/2014