BENJAMIN GERALD POTTER DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001005

License Status

EXPIRED

Business

Title

DPM

First Name

BENJAMIN

Middle

GERALD

Last Name

POTTER

Business Name

BENJAMIN GERALD POTTER DPM

Original Issue Date

06/13/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022