JOSEPH ANDREW KIPTA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054241

License Status

CANCELLED

Business

First Name

JOSEPH

Middle

ANDREW

Last Name

KIPTA

Business Name

JOSEPH ANDREW KIPTA

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/24/2014