TRAVIS DEAN POTTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153912

License Status

ACTIVE

Business

Title

First Name

TRAVIS

Middle

DEAN

Last Name

POTTER

Business Name

TRAVIS DEAN POTTER MD

Original Issue Date

08/03/2020

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

07/26/2023