HEIDI J LIPP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091398

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

Last Name

LIPP

Suffix

Business Name

HEIDI J LIPP MD

Original Issue Date

07/25/1995

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014