RENEE MITCHELL POTERA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052448

License Status

EXPIRED

Business

First Name

RENEE

Middle

MITCHELL

Last Name

POTERA

Business Name

RENEE MITCHELL POTERA

Original Issue Date

06/26/2007

Effective Date

06/26/2007

Expiration Date

06/25/2010

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/08/2010