DONALD G KIPPER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

DONALD G

Last Name

KIPPER

Business Name

DONALD G KIPPER

Original Issue Date

11/09/1987

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2024