BRYAN O'NEIL POTTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

BRYAN

Middle

O'NEIL

Last Name

POTTER

Business Name

BRYAN O'NEIL POTTER MD

Original Issue Date

09/06/2012

Effective Date

07/26/2019

Expiration Date

09/30/2020

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021