CHARLES FRANCIS POTTER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

CANCELLED

Business

First Name

CHARLES

Middle

FRANCIS

Last Name

POTTER

Suffix

Business Name

CHARLES FRANCIS POTTER MD

Original Issue Date

09/17/2004

Effective Date

09/17/2004

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008