JOSE R PONTE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083630

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

PONTE

Suffix

JR MD

Business Name

JOSE R PONTE JR MD

Original Issue Date

10/16/1991

Effective Date

10/16/1991

Expiration Date

07/31/2005

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

03/31/2016