The holder whose full name is Ponitz, Keith,come from Shaker Heights OH,hold the Limited Scope MD license(NO.99017139A) which status is Expired.
| Name | Ponitz, Keith |
|---|---|
| License Number | 99017139A |
| License Type | Limited Scope MD |
| License Status | Expired |
| City | Shaker Heights |
| State | OH |