KIPP E HENNING Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004421

License Status

NOT RENEWED

Business

First Name

KIPP E

Last Name

HENNING

Business Name

KIPP E HENNING

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

01/31/1993

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

09/25/2006