DAVID S LIPPIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

LIPPIE

Suffix

Business Name

DAVID S LIPPIE MD

Original Issue Date

01/22/1997

Effective Date

01/22/1997

Expiration Date

07/31/2002

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006