License holder summary

Potucek, Samantha Breann is a Dental - Expanded Function - Restorative I licensed to practice in Missouri. The address on file for Potucek, Samantha Breann is 20688 ACR 928 , Mexico 65265. This licensed professional license is current. The license was granted 06/13/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Potucek, Samantha Breann
Dental - Expanded Function - Restorative I
License number
2013018466  
Date granted
06/13/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
20688 ACR 928 
licensingmissouri.org
ID 2033755
LAST UPDATED 2026-05-30 13:06:38 UTC

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