JOSE R PONTE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

PONTE

Suffix

JR MD

Business Name

JOSE R PONTE JR MD

Original Issue Date

08/13/2001

Effective Date

08/13/2001

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006