BRADI M KIPPER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

INOPERATIVE

Business

First Name

BRADI

Middle

Last Name

KIPPER

Business Name

BRADI M KIPPER

Original Issue Date

11/01/2011

Effective Date

02/28/2024

Expiration Date

03/01/2026

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

12/03/2025