SCOTT CHRISTOPHER REPA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

CHRISTOPHER

Last Name

REPA

Business Name

SCOTT CHRISTOPHER REPA DO

Original Issue Date

06/04/2013

Effective Date

06/04/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014