KRISTINA MARIE POTANOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141342

License Status

ACTIVE

Business

Title

First Name

KRISTINA

Middle

MARIE

Last Name

POTANOS

Business Name

KRISTINA MARIE POTANOS MD

Original Issue Date

07/26/2016

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

06/29/2023