JASON EDWARD LIEBZEIT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043967

License Status

EXPIRED

Business

First Name

JASON

Middle

EDWARD

Last Name

LIEBZEIT

Suffix

Business Name

JASON EDWARD LIEBZEIT MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/17/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006