THOMAS PAUL PONTINEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

PAUL

Last Name

PONTINEN

Business Name

THOMAS PAUL PONTINEN MD

Original Issue Date

07/15/2016

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023