NATHAN NORMAN POTKIN DDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019753

License Status

NOT RENEWED

Business

First Name

NATHAN NORMAN

Last Name

POTKIN

Suffix

DDS

Business Name

NATHAN NORMAN POTKIN DDS

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1987002395

Action

Revocation

Discipline Start Date

10/21/1988