Indiana
Professional Licensing Agency
WALTER ALLEN REPAY
Controlled Substance Registration - Physician
License number
01019109B
Date granted
08/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LAKE RIDGE MEDICAL CENTER, 1573 N CLINE AVE, GRIFFITH IN 46319
indianalicensing.org
ID 5863129
LAST UPDATED 2024-04-29 10:17:06 UTC
LAST UPDATED 2024-04-29 10:17:06 UTC
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