OTTO ERNST PONGRATZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035738

License Status

NOT RENEWED

Business

First Name

OTTO ERNST

Last Name

PONGRATZ

Suffix

Business Name

OTTO ERNST PONGRATZ MD

Original Issue Date

05/22/1959

Effective Date

05/22/1959

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006