MARTIN STEPHEN LIPSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

MARTIN STEPHEN

Last Name

LIPSKY

Suffix

Business Name

MARTIN STEPHEN LIPSKY MD

Original Issue Date

07/07/1997

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020