DAVID L PONTELL

Business Entity
NOT RENEWED

Podiatrist

LICENSED PODIATRY CONTROLLED SUBSTANCE

31*****11

NOT RENEWED

N

DAVID L

PONTELL

DAVID L PONTELL

05/29/1985

05/29/1985

01/31/1989

CHICAGO

IL

60637

COOK

II III IV V

N

09/25/2006