GASTON MARCOS PONTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124961

License Status

NOT RENEWED

Business

First Name

GASTON

Middle

MARCOS

Last Name

PONTE

Suffix

Business Name

GASTON MARCOS PONTE MD

Original Issue Date

02/10/2010

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014