MARK LIPA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074766

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

LIPA

Suffix

Business Name

MARK LIPA MD

Original Issue Date

04/03/1987

Effective Date

04/03/1987

Expiration Date

07/31/1996

City

PUEBLO

State

Zip

81005

County

COLORADO

Ever Disciplined

LastModifiedDate

03/23/2007