PATRICK CHARLES KIPPENBROCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130921

License Status

ACTIVE

Business

Title

First Name

PATRICK

Middle

CHARLES

Last Name

KIPPENBROCK

Business Name

PATRICK CHARLES KIPPENBROCK MD

Original Issue Date

07/23/2012

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46260

County

INDIANA

Ever Disciplined

LastModifiedDate

07/20/2023