PHILLIP EDWARD PONCZEK DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038007613

License Status

INACTIVE

Business

First Name

PHILLIP EDWARD

Last Name

PONCZEK

Suffix

Business Name

PHILLIP EDWARD PONCZEK DC

Original Issue Date

12/08/1994

Effective Date

12/08/1994

Expiration Date

07/31/1999

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/21/2006