PHILIP ROBERT LIEBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045706

License Status

NOT RENEWED

Business

First Name

PHILIP ROBERT

Last Name

LIEBSON

Suffix

Business Name

PHILIP ROBERT LIEBSON MD

Original Issue Date

06/16/1972

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023