MARY C POTASNIK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006257

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

POTASNIK

Business Name

MARY C POTASNIK

Original Issue Date

09/09/1986

Effective Date

09/09/1986

Expiration Date

09/30/1988

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005