KENNETH W NIPPS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022537

License Status

EXPIRED

Business

First Name

KENNETH W

Last Name

NIPPS

Business Name

KENNETH W NIPPS

Original Issue Date

05/27/1988

Effective Date

05/27/1988

Expiration Date

06/16/1991

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006