MICHAEL JONATHAN LIEBER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

JONATHAN

Last Name

LIEBER

Business Name

MICHAEL JONATHAN LIEBER MD

Original Issue Date

04/22/2021

Effective Date

04/22/2021

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023