ORIE R POTTER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000614

License Status

ACTIVE

Business

First Name

ORIE

Middle

Last Name

POTTER

Business Name

ORIE R POTTER

Original Issue Date

06/10/1994

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

01/05/2026