BRIAN D SIPE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105518

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

SIPE

Suffix

Business Name

BRIAN D SIPE DO

Original Issue Date

08/31/2001

Effective Date

09/03/2020

Expiration Date

07/31/2023

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

11/30/2023