DIANA VANDERSALL RIPPEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049854

License Status

INACTIVE

Business

First Name

DIANA VANDERSALL

Last Name

RIPPEL

Suffix

Business Name

DIANA VANDERSALL RIPPEL MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/2005

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/09/2006