JON MICHAEL TIPPIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140781

License Status

NOT RENEWED

Business

Title

First Name

JON

Middle

MICHAEL

Last Name

TIPPIN

Business Name

JON MICHAEL TIPPIN MD

Original Issue Date

05/25/2016

Effective Date

09/02/2020

Expiration Date

07/31/2023

City

KALAMA

State

Zip

98625

Ever Disciplined

LastModifiedDate

11/30/2023