NATASHA I LEIBEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109492

License Status

NOT RENEWED

Business

First Name

NATASHA

Middle

Last Name

LEIBEL

Suffix

Business Name

NATASHA I LEIBEL MD

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

07/31/2005

City

NEW YORK

State

Zip

10069

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006