JERALD J PHIPPS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081445

License Status

NOT RENEWED

Business

First Name

JERALD J

Last Name

PHIPPS

Suffix

Business Name

JERALD J PHIPPS DO

Original Issue Date

09/05/1990

Effective Date

09/05/1990

Expiration Date

07/31/1993

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/12/2009

Case Number

2004005503

Action

Refuse To Renew

Discipline Start Date

10/01/2004

Discipline Reason

Disciplined in Iowa.