Indiana
Professional Licensing Agency
Jill Kennedy Kostick
Controlled Substance Registration - Physician
License number
01050712B
Date granted
07/19/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health Paoli Hospital, 642 West Hospital Road, Paoli IN 47454
indianalicensing.org
ID 5908782
LAST UPDATED 2024-02-25 22:54:01 UTC
LAST UPDATED 2024-02-25 22:54:01 UTC
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