COURTNEY KIM POTEMPA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

COURTNEY

Middle

KIM

Last Name

POTEMPA

Business Name

COURTNEY KIM POTEMPA

Original Issue Date

08/20/2004

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025