JENNIFER A LIEBENTHAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132361

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

Last Name

LIEBENTHAL

Business Name

JENNIFER A LIEBENTHAL MD

Original Issue Date

04/10/2013

Effective Date

04/10/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014