License holder summary

WILLIAM LOUIS POTUCEK is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for WILLIAM LOUIS POTUCEK is 6702 WEST 125 NORTH, LAPORTE IN 46350. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 03/01/1998.

Indiana

Professional Licensing Agency

WILLIAM LOUIS POTUCEK
Controlled Substance Registration - Dentist
License number
12005744B
Date granted
12/31/1985
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
6702 WEST 125 NORTH, LAPORTE IN 46350
indianalicensing.org
ID 5107287
LAST UPDATED 2024-04-08 17:25:52 UTC

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