DEEPA RETNEM POTTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122503

License Status

NOT RENEWED

Business

First Name

DEEPA

Middle

RETNEM

Last Name

POTTI

Suffix

Business Name

DEEPA RETNEM POTTI MD

Original Issue Date

01/26/2009

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023