Indiana
Professional Licensing Agency
Mulokozi Kazoba Lugakingira
Controlled Substance Registration - Dentist
License number
12011742B
Date granted
10/11/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Dupont Oral and Maxillofacial Surgery, P.C., 2121 East Dupont Road, Ste C, Fort Wayne IN 46825
indianalicensing.org
ID 5095533
LAST UPDATED 2024-02-11 09:58:26 UTC
LAST UPDATED 2024-02-11 09:58:26 UTC
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