MARTIN I LIEBERMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

MARTIN I

Last Name

LIEBERMAN

Business Name

MARTIN I LIEBERMAN

Original Issue Date

11/08/1984

Effective Date

11/08/1984

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005