KEITH B POTETTI DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038005879

License Status

NOT RENEWED

Business

Title

First Name

KEITH

Middle

Last Name

POTETTI

Business Name

KEITH B POTETTI DC

Original Issue Date

02/20/1987

Effective Date

08/03/2015

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2003007295

Action

Probation

Discipline Start Date

06/10/2010

Discipline End Date

08/12/2015

Discipline Reason

after violated the terms of an Aftercare Agreement.