Indiana
Professional Licensing Agency
James C. Potts
Controlled Substance Registration - Dentist
License number
12008022B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3510 Birch Cove, Fort Wayne IN 46804
indianalicensing.org
ID 5094909
LAST UPDATED 2024-03-21 14:51:46 UTC
LAST UPDATED 2024-03-21 14:51:46 UTC
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