TERRY L KIPPA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

TERRY L

Last Name

KIPPA

Suffix

DDS

Business Name

TERRY L KIPPA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005