License Directory

Carolyn Blake Potthoff

Active

Michigan license 2902005051

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
2902005051
Status
Active
First issued
January 29, 1979
Expires
January 29, 2029
License holder
Carolyn Blake Potthoff
Entity type
Individual

Classifications

  • Dental Hygienist (Dentistry) Dental

More from the license record

Specialties
Local Anesthesia

Contact

22937 Gary Lane
Saint Clair Shores, MI 48080-1008
Macomb County