The holder whose full name is Potucek, Joseph Charles,come from MICHIGAN CITY IN,hold the Dentist license(NO.12003045A) which status is Expired.
| Name | Potucek, Joseph Charles |
|---|---|
| License Number | 12003045A |
| License Type | Dentist |
| License Status | Expired |
| City | MICHIGAN CITY |
| State | IN |