RANDOLF DWIGHT DIPP DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167217

License Status

ACTIVE

Business

Title

First Name

RANDOLF

Middle

DWIGHT

Last Name

DIPP

Business Name

RANDOLF DWIGHT DIPP DO

Original Issue Date

09/28/2023

Effective Date

09/28/2023

Expiration Date

07/31/2026

City

SAN DIEGO

State

Zip

92101

Ever Disciplined

LastModifiedDate

09/28/2023