ELIZABETH ANNE POTOCNIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

ANNE

Last Name

POTOCNIK

Business Name

ELIZABETH ANNE POTOCNIK MD

Original Issue Date

07/12/2022

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023