ANDREW PATRICK MULKA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

INACTIVE

Business

Title

DDS

First Name

ANDREW

Middle

PATRICK

Last Name

MULKA

Business Name

ANDREW PATRICK MULKA DDS

Original Issue Date

07/21/2011

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

BLUE GRASS

State

Zip

52726

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/16/2021