CHARLES FRANCIS POTTER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112376

License Status

INACTIVE

Business

First Name

CHARLES

Middle

FRANCIS

Last Name

POTTER

Suffix

Business Name

CHARLES FRANCIS POTTER MD

Original Issue Date

09/17/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/17/2008