JACK C SIPE II MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042611

License Status

INACTIVE

Business

First Name

JACK C

Last Name

SIPE II

Suffix

Business Name

JACK C SIPE II MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

Expiration Date

07/31/1987

City

LAJOLLA

State

Zip

92037

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006