License holder summary

Traci Lippold is a Temporary Physician Assistant Permit licensed to practice in Indiana. The address on file for Traci Lippold is Columbus IN 47201. This licensed professional license is not current. The license was granted 10/01/2013 and expired on 07/01/2014.

Indiana

Professional Licensing Agency

Traci Lippold
Temporary Physician Assistant Permit
License number
99059251A
Date granted
10/01/2013
Date expires
07/01/2014
Class
Temporary Physician Assistant Permit
Status
Superceded
Address
Columbus IN 47201
indianalicensing.org
ID 8392636
LAST UPDATED 2024-04-23 19:42:53 UTC

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