CHARLES ROY POTTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065056

License Status

NOT RENEWED

Business

First Name

CHARLES ROY

Last Name

POTTER

Suffix

Business Name

CHARLES ROY POTTER MD

Original Issue Date

08/11/1982

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

POPLAR BLUFF

State

Zip

63901

Ever Disciplined

LastModifiedDate

09/12/2014