BETH R REPP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

BETH

Middle

Last Name

REPP

Business Name

BETH R REPP MD

Original Issue Date

07/23/2015

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

GENESEO

State

Zip

61254

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023