BRIAN WESLEY SHIPPERT DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****89

ACTIVE

N

DO

BRIAN

WESLEY

SHIPPERT

BRIAN WESLEY SHIPPERT DO

08/04/2021

04/07/2023

07/31/2026

STATE COLLEGE

PA

16803

PRACTITIONER

II III IV V

N

04/07/2023