GINA MARIE PONTIUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127944

License Status

NOT RENEWED

Business

Title

First Name

GINA

Middle

MARIE

Last Name

PONTIUS

Business Name

GINA MARIE PONTIUS MD

Original Issue Date

05/31/2011

Effective Date

05/31/2011

Expiration Date

07/31/2014

City

PALMYRA

State

Zip

63461

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014