CHARLES ROY POTTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

CHARLES ROY

Last Name

POTTER

Suffix

Business Name

CHARLES ROY POTTER MD

Original Issue Date

08/23/1982

Effective Date

06/05/2008

Expiration Date

07/31/2011

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011