License holder summary

Victoria Lynn Potoczak is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Victoria Lynn Potoczak is 3618 South 4th Street, Terre Haute IN 47802. This licensed professional license is current. The license was granted 06/21/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Victoria Lynn Potoczak
Controlled Substance Registration - Physician
License number
01043236B
Date granted
06/21/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3618 South 4th Street, Terre Haute IN 47802
indianalicensing.org
ID 5926956
LAST UPDATED 2024-04-09 10:27:41 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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