ROBERT L KIPPENBROCK OD - Optometrist License in Illinois | # 047933018

ROBERT L KIPPENBROCK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933018

License Status

CANCELLED

Business

N

Title

OD

First Name

ROBERT

Middle

L

Last Name

KIPPENBROCK

Business Name

ROBERT L KIPPENBROCK OD

Original Issue Date

05/09/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010