JASON ADAM LIPOFF DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002424

License Status

NOT RENEWED

Business

Title

DMD

First Name

JASON

Middle

ADAM

Last Name

LIPOFF

Business Name

JASON ADAM LIPOFF DMD

Original Issue Date

08/23/2011

Effective Date

07/02/2012

Expiration Date

09/30/2015

City

PROSPECT

State

Zip

40059

County

KENTUCKY

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

02/08/2016