FELICITAS PONCE-MINA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047414

License Status

INACTIVE

Business

First Name

FELICITAS

Last Name

PONCE-MINA

Suffix

Business Name

FELICITAS PONCE-MINA MD

Original Issue Date

06/05/1973

Effective Date

06/05/1973

Expiration Date

07/31/1996

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006