MARK A LEIBEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000825

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

LEIBEL

Business Name

MARK A LEIBEL

Original Issue Date

06/28/2010

Effective Date

06/28/2010

Expiration Date

12/27/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2011