Indiana
Professional Licensing Agency
Lili Ann Leavell
Controlled Substance Registration - Physician
License number
01038742B
Date granted
01/24/1991
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Joseph Hospital attn: medical affair office, 1907 W. Sycamore St., Kokomo IN 46901
indianalicensing.org
ID 5876552
LAST UPDATED 2024-04-10 06:53:00 UTC
LAST UPDATED 2024-04-10 06:53:00 UTC
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