CHAD JEREMY POTTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116355

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

JEREMY

Last Name

POTTER

Suffix

Business Name

CHAD JEREMY POTTER MD

Original Issue Date

06/30/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

65810

Ever Disciplined

LastModifiedDate

11/06/2008