Indiana
Professional Licensing Agency
Elizabeth DeRose Kowal
Physician
License number
01070813A
Date granted
03/16/2012
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Lafayette IN 47904
indianalicensing.org
ID 6110451
LAST UPDATED 2026-03-19 06:05:42 UTC
LAST UPDATED 2026-03-19 06:05:42 UTC
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