JOSEPH ANDREW KIPTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135222

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

ANDREW

Last Name

KIPTA

Business Name

JOSEPH ANDREW KIPTA

Original Issue Date

05/01/2014

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017