The holder whose full name is Potter, Tyler James,come from Greenwood IN,hold the Dental Intern Permit license(NO.42000155A) which status is Expired.
| Name | Potter, Tyler James |
|---|---|
| License Number | 42000155A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Greenwood |
| State | IN |