COLIN WERNER LIBERMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049345

License Status

CANCELLED

Business

First Name

COLIN

Middle

WERNER

Last Name

LIBERMAN

Suffix

Business Name

COLIN WERNER LIBERMAN MD

Original Issue Date

06/25/2005

Effective Date

06/25/2005

Expiration Date

06/30/2008

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006