AVA MADISON PONTO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009718

License Status

ACTIVE

Business

First Name

AVA

Middle

MADISON

Last Name

PONTO

Business Name

AVA MADISON PONTO

Original Issue Date

06/17/2023

Effective Date

03/21/2024

Expiration Date

03/01/2026

City

CEDAR LAKE

State

Zip

46303

Ever Disciplined

LastModifiedDate

12/03/2025