ROY NORMAN POTTENGER MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****99

NOT RENEWED

N

ROY NORMAN

POTTENGER

MD

ROY NORMAN POTTENGER MD

01/01/1997

09/01/1982

MAYWOOD

IL

60153

COOK

II III IV V

N

09/26/2006