STUART MARVIN POTICHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037077

License Status

NOT RENEWED

Business

First Name

STUART MARVIN

Last Name

POTICHA

Suffix

Business Name

STUART MARVIN POTICHA MD

Original Issue Date

02/10/1961

Effective Date

06/10/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014