DAVID THOMAS POTTER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108638

License Status

INACTIVE

Business

First Name

DAVID

Middle

THOMAS

Last Name

POTTER

Suffix

Business Name

DAVID THOMAS POTTER MD

Original Issue Date

02/21/2003

Effective Date

02/21/2003

Expiration Date

07/31/2005

City

SEATTLE

State

Zip

98122

Ever Disciplined

LastModifiedDate

11/17/2009

Case Number

2009008760

Action

Refuse To Renew

Discipline Start Date

11/17/2009

Discipline Reason

due to a sister-state discipline.