License holder summary

Russel Mulamba is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Russel Mulamba is 5122 West Pike Plaza Road, Indianapolis IN 46254-3003. This licensed professional license is current. The license was granted 02/04/2000 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Russel Mulamba
Controlled Substance Registration - Dentist
License number
12010225B
Date granted
02/04/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5122 West Pike Plaza Road, Indianapolis IN 46254-3003
indianalicensing.org
ID 5104332
LAST UPDATED 2024-02-20 02:59:56 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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