BRENT B LIEBERT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071718

License Status

INACTIVE

Business

First Name

BRENT B

Last Name

LIEBERT

Suffix

Business Name

BRENT B LIEBERT MD

Original Issue Date

09/27/1985

Effective Date

09/27/1985

Expiration Date

07/31/1987

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/20/2006