JOSEPH THOMAS POTERUCHA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060767

License Status

CANCELLED

Business

First Name

JOSEPH

Middle

THOMAS

Last Name

POTERUCHA

Suffix

Business Name

JOSEPH THOMAS POTERUCHA DO

Original Issue Date

05/01/2012

Effective Date

05/01/2012

Expiration Date

04/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/30/2012