MAX EDWARD LIEBL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125582

License Status

NOT RENEWED

Business

First Name

MAX

Middle

EDWARD

Last Name

LIEBL

Suffix

Business Name

MAX EDWARD LIEBL MD

Original Issue Date

04/27/2010

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014