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 5097126
LAST UPDATED 2024-02-14 18:28:13 UTC
LAST UPDATED 2024-02-14 18:28:13 UTC
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