JOSEPH C POTUCEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019004870

License Status

NOT RENEWED

Business

First Name

JOSEPH C

Last Name

POTUCEK

Business Name

JOSEPH C POTUCEK

Original Issue Date

08/16/1926

Effective Date

08/16/1926

Expiration Date

09/30/1984

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005