ROBERT L KIPPENBROCK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008481

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

Last Name

KIPPENBROCK

Business Name

ROBERT L KIPPENBROCK OD

Original Issue Date

11/19/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/11/2005