HOWARD BRUCE LIEBMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

HOWARD BRUCE

Last Name

LIEBMAN

Business Name

HOWARD BRUCE LIEBMAN

Original Issue Date

12/20/2007

Effective Date

05/21/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016