BRIAN DEXTER LIEM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001115

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

DEXTER

Last Name

LIEM

Business Name

BRIAN DEXTER LIEM DO

Original Issue Date

08/01/2016

Effective Date

08/01/2016

Expiration Date

08/31/2016

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

03/09/2017