ANISH GOVIND R POTTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062228

License Status

EXPIRED

Business

Title

First Name

ANISH

Middle

GOVIND R

Last Name

POTTY

Business Name

ANISH GOVIND R POTTY MD

Original Issue Date

08/01/2012

Effective Date

08/01/2012

Expiration Date

07/31/2013

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Adult Reconstructive Orthopedics

Ever Disciplined

LastModifiedDate

10/07/2013