PAUL D POTTER JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

PAUL D

Last Name

POTTER JR

Suffix

DDS

Business Name

PAUL D POTTER JR DDS

Original Issue Date

01/01/1998

Effective Date

06/15/2012

Expiration Date

09/30/2015

City

DECATUR

State

Zip

62522

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016