Lisa Marie Repko
Controlled Substance Registration-Physician Assistant
Indiana 10001476B Active
This Indiana license is held by Lisa Marie Repko. The license is currently active. It was granted on 12/07/2012 and expired on 06/30/2016
LICENSE DETAILS
- License Number: 10001476B
- Category: CSR-Physician Assistant
- Status: Active
- Date Granted: 12/07/2012 (over 13 years ago)
- Expiry Date: 06/30/2016 (about 10 years ago)
LOCATIONS
A Address
Porter Hospital, 85 East US Highway 6, Valparaiso IN 46383
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