HENRY J POTERUCHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

HENRY J

Last Name

POTERUCHA

Suffix

Business Name

HENRY J POTERUCHA MD

Original Issue Date

01/01/1997

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014