BRYAN O'NEIL POTTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131318

License Status

NOT RENEWED

Business

Title

First Name

BRYAN

Middle

O'NEIL

Last Name

POTTER

Business Name

BRYAN O'NEIL POTTER MD

Original Issue Date

09/06/2012

Effective Date

07/26/2019

Expiration Date

09/30/2020

City

LYLE

State

Zip

98635

Ever Disciplined

LastModifiedDate

01/14/2021