CHARLES ROY POTTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

CHARLES ROY

Last Name

POTTER

Suffix

Business Name

CHARLES ROY POTTER MD

Original Issue Date

06/15/1990

Effective Date

06/15/1990

Expiration Date

07/31/2008

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011