TERRY L KIPPA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001131

License Status

INACTIVE

Business

First Name

TERRY L

Last Name

KIPPA

Suffix

DDS

Business Name

TERRY L KIPPA DDS

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/1992

City

OSHKOSH

State

Zip

54901

County

WISCONSIN

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/13/2005