AMY ERNA LIEPERT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133422

License Status

INACTIVE

Business

Title

First Name

AMY

Middle

ERNA

Last Name

LIEPERT

Business Name

AMY ERNA LIEPERT MD

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

07/31/2014

City

MADISON

State

Zip

53792

Ever Disciplined

LastModifiedDate

07/29/2014