FELICITAS PONCE-MINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

FELICITAS

Last Name

PONCE-MINA

Suffix

Business Name

FELICITAS PONCE-MINA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006