AJAY B PONKSHE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095893

License Status

INACTIVE

Business

First Name

AJAY B

Last Name

PONKSHE

Business Name

AJAY B PONKSHE

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

07/31/2005

City

WESTCHESTER

State

Zip

45069

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006