JACQUELINE A PONGRACIC MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****89

NOT RENEWED

N

JACQUELINE A

PONGRACIC

MD

JACQUELINE A PONGRACIC MD

09/17/1991

07/09/2020

07/31/2023

CHICAGO

IL

60611

COOK

II III IV V

N

11/30/2023