JASON ADAM LIPOFF DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026157

License Status

NOT RENEWED

Business

Title

DMD

First Name

JASON

Middle

ADAM

Last Name

LIPOFF

Business Name

JASON ADAM LIPOFF DMD

Original Issue Date

06/18/2003

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

PROSPECT

State

Zip

40059

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/31/2018