DEEPA RETNEM POTTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

DEEPA

Middle

RETNEM

Last Name

POTTI

Suffix

Business Name

DEEPA RETNEM POTTI MD

Original Issue Date

06/28/2011

Effective Date

08/24/2020

Expiration Date

07/31/2023

City

ADDISON

State

Zip

60101

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023