HENRY J POTERUCHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032613

License Status

NOT RENEWED

Business

First Name

HENRY J

Last Name

POTERUCHA

Suffix

Business Name

HENRY J POTERUCHA MD

Original Issue Date

03/12/1954

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/17/2014