MARIA SOCORRO S PONGOS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

MARIA SOCORRO S

Last Name

PONGOS

Business Name

MARIA SOCORRO S PONGOS

Original Issue Date

02/14/1996

Effective Date

02/14/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006