David S. Lippie

Controlled Substance Registration - Physician

Indiana  01041216B   Active

This Indiana license is held by David S. Lippie. The license is currently active. It was granted on 03/15/2001 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01041216B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 03/15/2001 (about 24 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

7910 West Jefferson Boulevard, Suite 219, Fort Wayne IN 46804