DANIEL MERLE PONTIUS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

MERLE

Last Name

PONTIUS

Suffix

Business Name

DANIEL MERLE PONTIUS DO

Original Issue Date

11/03/2009

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017