MARTIN JOHANN PONTASCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

MARTIN

Middle

JOHANN

Last Name

PONTASCH

Business Name

MARTIN JOHANN PONTASCH MD

Original Issue Date

07/14/2024

Effective Date

07/14/2024

Expiration Date

07/31/2026

City

PONTIAC

State

Zip

61764

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026