ALLEN KIPROTICH MISSOI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

ALLEN

Middle

KIPROTICH

Last Name

MISSOI

Business Name

ALLEN KIPROTICH MISSOI MD

Original Issue Date

07/21/2021

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023