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Lead Piro Btupe ' to ed #'TNOM11M <br />Effective: 04/2 /2019 Expiration'. 04/25/2022 <br />Birth Date: 04/27/1976 Gender: M <br />Height: 62 Eye Color: blue <br />Weight: 200 Hair Color: multi <br />Indiana State Department of Health <br />100 N. Senate Avenue, N855 <br />Indianapolis, Indiana 46204 <br />V <br />Lead Project Supervisor <br />04/25/2022 <br />Eiisha Smith <br />Kristina Box, MD, FACOG <br />Kristina Box, MD, FACOG <br />State Health Commissioner <br />Indiana State Department of Health <br />5 TA rfl' I 'A [ H 1•I 7 - 18, <br />