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
LAST UPDATED 2024-04-10 09:52:30 UTC
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