License holder summary

Mukuka Kapilikisha is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mukuka Kapilikisha is 7880 Broadway, Suite A, Merrillville IN 46410. This licensed professional license is current. The license was granted 08/19/2008 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mukuka Kapilikisha
Controlled Substance Registration - Dentist
License number
12011216B
Date granted
08/19/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7880 Broadway, Suite A, Merrillville IN 46410
indianalicensing.org
ID 5111223
LAST UPDATED 2022-08-23 22:19:25 UTC

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