Indiana
Professional Licensing Agency
Corinna Repetto
Controlled Substance Registration - Physician
License number
01037634B
Date granted
11/08/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Unity Physician Group, 1155 West Third Street, Bloomington IN 47404
indianalicensing.org
ID 5823994
LAST UPDATED 2024-04-10 09:46:19 UTC
LAST UPDATED 2024-04-10 09:46:19 UTC
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