PARAG A TIPNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

PARAG

Middle

Last Name

TIPNIS

Suffix

Business Name

PARAG A TIPNIS MD

Original Issue Date

07/11/2002

Effective Date

07/11/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008