BENJAMIN JOEL LIPANOT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

JOEL

Last Name

LIPANOT

Business Name

BENJAMIN JOEL LIPANOT MD

Original Issue Date

12/06/2024

Effective Date

12/06/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/06/2024