JASON EDWARD LIEBZEIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114766

License Status

NOT RENEWED

Business

First Name

JASON

Middle

EDWARD

Last Name

LIEBZEIT

Suffix

Business Name

JASON EDWARD LIEBZEIT MD

Original Issue Date

10/19/2005

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

ATLANTA

State

Zip

30324

Ever Disciplined

LastModifiedDate

11/01/2017