LOUIS JOSEPH RALPH POTHEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

JOSEPH RALPH

Last Name

POTHEL

Business Name

LOUIS JOSEPH RALPH POTHEL

Original Issue Date

01/31/2003

Effective Date

01/31/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006