License holder summary

Joseph Charles Potucek is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Joseph Charles Potucek is 715 PINE STREET, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 07/12/1921 and expired on 12/31/1984.

Indiana

Professional Licensing Agency

Joseph Charles Potucek
Controlled Substance Registration - Dentist
License number
12003045B
Date granted
07/12/1921
Date expires
12/31/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
715 PINE STREET, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5111828
LAST UPDATED 2024-04-10 09:52:30 UTC

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