ERIN M LAIPPLY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

NOT RENEWED

Business

First Name

ERIN M

Last Name

LAIPPLY

Business Name

ERIN M LAIPPLY

Original Issue Date

01/11/2002

Effective Date

01/11/2002

Expiration Date

03/01/2004

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006