ERIC B LIEBERMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000153

License Status

EXPIRED

Business

First Name

ERIC

Middle

Last Name

LIEBERMAN

Suffix

Business Name

ERIC B LIEBERMAN MD

Original Issue Date

04/05/2002

Effective Date

04/05/2002

Expiration Date

11/30/2002

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006