JOB BADIOLA PONTILLAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

JOB

Middle

BADIOLA

Last Name

PONTILLAS

Suffix

Business Name

JOB BADIOLA PONTILLAS MD

Original Issue Date

10/24/2006

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014