The holder whose full name is Repko, Lisa Marie,come from Danville IL,hold the Physician Assistant - Prescriptive Authority license(NO.10001476A) which status is Active.
| Name | Repko, Lisa Marie |
|---|---|
| License Number | 10001476A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Danville |
| State | IL |