MUKUKA KAPILIKISHA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

Title

DMD

First Name

MUKUKA

Last Name

KAPILIKISHA

Business Name

MUKUKA KAPILIKISHA DMD

Original Issue Date

09/09/2015

Effective Date

09/09/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018