PENELOPE K TIPPY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054986

License Status

NOT RENEWED

Business

First Name

PENELOPE K

Last Name

TIPPY

Business Name

PENELOPE K TIPPY

Original Issue Date

07/14/1977

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/14/2021