RAYMOND M PONGONIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052619

License Status

EXPIRED

Business

Title

First Name

RAYMOND

Middle

Last Name

PONGONIS

Business Name

RAYMOND M PONGONIS MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010