License holder summary

Tyler James Potter is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Tyler James Potter is Indiana Oral and Maxillofacial Surgery Associates, 1000 West Jefferson Street, Franklin IN 46131. This licensed professional license is current. The license was granted 09/27/2010 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Tyler James Potter
Controlled Substance Registration - Dentist
License number
12010184F
Date granted
09/27/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Indiana Oral and Maxillofacial Surgery Associates, 1000 West Jefferson Street, Franklin IN 46131
indianalicensing.org
ID 22437760
LAST UPDATED 2021-02-25 22:24:19 UTC

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