MATTHEW A KIPPENHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

Last Name

KIPPENHAN

Business Name

MATTHEW A KIPPENHAN MD

Original Issue Date

08/28/2002

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023