JASON EDWARD LIEBZEIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

JASON

Middle

EDWARD

Last Name

LIEBZEIT

Suffix

Business Name

JASON EDWARD LIEBZEIT MD

Original Issue Date

11/15/2005

Effective Date

11/15/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017