DANIEL MERLE PONTIUS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124558

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

MERLE

Last Name

PONTIUS

Suffix

Business Name

DANIEL MERLE PONTIUS DO

Original Issue Date

10/30/2009

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

11/01/2017