LOUIS JOSEPH RALPH POTHEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108153

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

JOSEPH RALPH

Last Name

POTHEL

Business Name

LOUIS JOSEPH RALPH POTHEL

Original Issue Date

11/13/2002

Effective Date

11/13/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006