CHARLES RAYMOND LIPSCOMB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038289

License Status

NOT RENEWED

Business

First Name

CHARLES RAYMOND

Last Name

LIPSCOMB

Suffix

Business Name

CHARLES RAYMOND LIPSCOMB MD

Original Issue Date

01/17/1963

Effective Date

01/17/1963

City

ELK GROVE

State

Zip

53122

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006