KRISHNAN POTTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043576

License Status

NOT RENEWED

Business

Title

First Name

KRISHNAN

Last Name

POTTI

Business Name

KRISHNAN POTTI MD

Original Issue Date

06/19/1970

Effective Date

10/08/2019

Expiration Date

09/30/2020

City

MERRIVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021