JACK LAWRENCE LIEBERMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012631

License Status

NOT RENEWED

Business

First Name

JACK LAWRENCE

Last Name

LIEBERMAN

Suffix

DDS

Business Name

JACK LAWRENCE LIEBERMAN DDS

Original Issue Date

11/25/1964

Effective Date

09/16/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012