DOUGLAS BLAINE TIPPIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

BLAINE

Last Name

TIPPIN

Business Name

DOUGLAS BLAINE TIPPIN MD

Original Issue Date

05/20/2023

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023