PONCIANO V SALUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046318

License Status

NOT RENEWED

Business

First Name

PONCIANO V

Last Name

SALUD

Suffix

Business Name

PONCIANO V SALUD MD

Original Issue Date

08/17/1972

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008