Indiana
Professional Licensing Agency
Josephine Kizza Lilla
Controlled Substance Registration - Physician
License number
01062334B
Date granted
08/23/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
401 E Reynolds Drive, Kokomo IN 46902
indianalicensing.org
ID 5876439
LAST UPDATED 2024-03-09 06:29:40 UTC
LAST UPDATED 2024-03-09 06:29:40 UTC
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