Mukuka Kapilikisha

Controlled Substance Registration - Dentist

Indiana  12011216B   Active

This Indiana license is held by Mukuka Kapilikisha. The license is currently active. It was granted on 08/19/2008 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12011216B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 08/19/2008 (over 16 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

7880 Broadway, Suite A, Merrillville IN 46410