JERRY A PONITCH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044702

License Status

INACTIVE

Business

First Name

JERRY A

Last Name

PONITCH

Suffix

Business Name

JERRY A PONITCH MD

Original Issue Date

08/09/1971

Effective Date

08/09/1971

Expiration Date

07/31/1990

City

TEMPE

State

Zip

85282

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1991003559

Action

Probation

Discipline Start Date

11/24/1992

Discipline Reason

Disciplined in Arizona.