JENNIFER L LIEDEL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102039

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

LIEDEL

Business Name

JENNIFER L LIEDEL

Original Issue Date

02/28/2000

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

ELMSFORD

State

Zip

10523

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/14/2025