GREGORY DELOSS POTTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

DELOSS

Last Name

POTTER

Business Name

GREGORY DELOSS POTTER MD

Original Issue Date

01/31/2014

Effective Date

07/15/2014

Expiration Date

07/31/2017

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017