WILLIAM CARMINE SIPPO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

CARMINE

Last Name

SIPPO

Suffix

Business Name

WILLIAM CARMINE SIPPO MD

Original Issue Date

09/22/1995

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011