ELIZABETH MARY PONTARELLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055599

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

MARY

Last Name

PONTARELLI

Business Name

ELIZABETH MARY PONTARELLI MD

Original Issue Date

02/01/2009

Effective Date

02/01/2009

Expiration Date

01/31/2012

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/01/2012