EVAN RENE PONCHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

EVAN

Middle

RENE

Last Name

PONCHER

Business Name

EVAN RENE PONCHER MD

Original Issue Date

02/07/2022

Effective Date

02/07/2022

Expiration Date

07/31/2023

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023