SUSAN ALBERTA LIPPOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102153

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ALBERTA

Last Name

LIPPOLD

Suffix

Business Name

SUSAN ALBERTA LIPPOLD MD

Original Issue Date

03/17/2000

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

POLACCA

State

Zip

86042

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/17/2014