NATHANIEL ANDREW KIPKER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084158

License Status

ACTIVE

Business

Title

First Name

NATHANIEL

Middle

ANDREW

Last Name

KIPKER

Business Name

NATHANIEL ANDREW KIPKER DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/03/2024