SHAMANT TIPPOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122469

License Status

NOT RENEWED

Business

First Name

SHAMANT

Last Name

TIPPOR

Suffix

Business Name

SHAMANT TIPPOR MD

Original Issue Date

01/16/2009

Effective Date

05/31/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

65810

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014