ALEXANDER JAMES LIETZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170520

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

JAMES

Last Name

LIETZ

Business Name

ALEXANDER JAMES LIETZ MD

Original Issue Date

06/07/2024

Effective Date

06/07/2024

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

06/07/2024