JOB BADIOLA PONTILLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108884

License Status

NOT RENEWED

Business

First Name

JOB

Middle

BADIOLA

Last Name

PONTILLAS

Suffix

Business Name

JOB BADIOLA PONTILLAS MD

Original Issue Date

03/27/2003

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

03/06/2019