PONJOLA CONEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090083

License Status

INACTIVE

Business

First Name

PONJOLA

Last Name

CONEY

Suffix

Business Name

PONJOLA CONEY MD

Original Issue Date

01/06/1995

Effective Date

01/06/1995

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/03/2007