DAVID M LIEBOVITZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

LIEBOVITZ

Suffix

Business Name

DAVID M LIEBOVITZ MD

Original Issue Date

07/29/1993

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021