BRENT B LIEBERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

BRENT B

Last Name

LIEBERT

Suffix

Business Name

BRENT B LIEBERT MD

Original Issue Date

09/30/1985

Effective Date

09/30/1985

Expiration Date

07/31/1987

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006