ELLIOT DANIEL LIEBERMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057106

License Status

CANCELLED

Business

Title

First Name

ELLIOT

Middle

DANIEL

Last Name

LIEBERMAN

Business Name

ELLIOT DANIEL LIEBERMAN MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2014

City

HIGHLAND PARK

State

Zip

60035

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

03/29/2012