KIPP E HENNING Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

KIPP E

Last Name

HENNING

Business Name

KIPP E HENNING

Original Issue Date

06/22/1990

Effective Date

06/22/1990

Expiration Date

01/31/1993

City

ZION

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006