JASON ADAM LIPOFF DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

Title

DMD

First Name

JASON

Middle

ADAM

Last Name

LIPOFF

Business Name

JASON ADAM LIPOFF DMD

Original Issue Date

06/22/2004

Effective Date

06/06/2012

Expiration Date

09/30/2015

City

JEFFERSONVILLE

State

Zip

47130

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016