ANDREW PATRICK MULKA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000854

License Status

NOT RENEWED

Business

Title

DDS

First Name

ANDREW

Middle

PATRICK

Last Name

MULKA

Business Name

ANDREW PATRICK MULKA DDS

Original Issue Date

09/19/2012

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

BLUE GRASS

State

Zip

52726

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/09/2022