J ALLEN POTTER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

NOT RENEWED

Business

First Name

J ALLEN

Last Name

POTTER

Business Name

J ALLEN POTTER

Original Issue Date

04/17/1996

Effective Date

02/14/2012

Expiration Date

03/31/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014