ALEXANDER JAMES LIETZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

JAMES

Last Name

LIETZ

Business Name

ALEXANDER JAMES LIETZ MD

Original Issue Date

06/10/2024

Effective Date

06/10/2024

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2024