FREDERICK S LIPMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000460

License Status

NOT RENEWED

Business

First Name

FREDERICK S

Last Name

LIPMAN

Business Name

FREDERICK S LIPMAN

Original Issue Date

08/01/1991

Effective Date

08/01/1991

Expiration Date

03/01/2000

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006