FRANK J LIEBENTRITT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

CANCELLED

Business

First Name

FRANK J

Last Name

LIEBENTRITT

Suffix

Business Name

FRANK J LIEBENTRITT MD

Original Issue Date

01/01/1997

Effective Date

11/02/2009

Expiration Date

07/31/2011

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011