Indiana
Professional Licensing Agency
Lisa Marie Repko
Controlled Substance Registration-Physician Assistant
License number
10001476B
Date granted
12/07/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Porter Hospital, 85 East US Highway 6, Valparaiso IN 46383
indianalicensing.org
ID 8388672
LAST UPDATED 2024-04-28 03:25:42 UTC
LAST UPDATED 2024-04-28 03:25:42 UTC
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