BRIAN WESLEY SHIPPERT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155857

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

WESLEY

Last Name

SHIPPERT

Business Name

BRIAN WESLEY SHIPPERT DO

Original Issue Date

03/02/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BOALSBURG

State

Zip

16827

Ever Disciplined

LastModifiedDate

04/06/2023