DUSTIN ROBERT DIPPEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153847

License Status

ACTIVE

Business

Title

First Name

DUSTIN

Middle

ROBERT

Last Name

DIPPEN

Business Name

DUSTIN ROBERT DIPPEN MD

Original Issue Date

07/27/2020

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

LINCOLN

State

Zip

05443

Ever Disciplined

LastModifiedDate

06/14/2023