MARTIN JAVIER REPETTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

MARTIN

Middle

JAVIER

Last Name

REPETTO

Business Name

MARTIN JAVIER REPETTO MD

Original Issue Date

06/29/2007

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/05/2023