ROBERT L KIPPENBROCK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926347

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

Last Name

KIPPENBROCK

Business Name

ROBERT L KIPPENBROCK OD

Original Issue Date

08/23/1999

Effective Date

03/04/2002

Expiration Date

03/31/2002

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

09/01/2005