BRIAN POTTER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033731

License Status

INACTIVE

Business

First Name

BRIAN

Last Name

POTTER

Suffix

Business Name

BRIAN POTTER MD

Original Issue Date

10/06/1955

Effective Date

10/06/1955

Expiration Date

07/31/1987

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006