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
LAST UPDATED 2026-05-30 13:06:38 UTC
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