Tyler James Potter
Controlled Substance Registration - Dentist
Indiana 12010184D Expired
This Indiana license was held by Tyler James Potter. The license is no longer active. It was granted on 11/26/2002 and expired on 03/01/2006
LICENSE DETAILS
- License Number: 12010184D
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 11/26/2002 (over 22 years ago)
- Expiry Date: 03/01/2006 (about 19 years ago)
LOCATIONS
A Address
INDIANA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, INC, 2140 KNUE ROAD, SUITE 200, Indianapolis IN 46250