MARIAN MARY TRIPP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

MARIAN

Middle

MARY

Last Name

TRIPP

Business Name

MARIAN MARY TRIPP MD

Original Issue Date

07/27/2018

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/03/2023