DANIEL A LIEBERMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928688

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

Last Name

LIEBERMAN

Business Name

DANIEL A LIEBERMAN OD

Original Issue Date

05/06/2002

Effective Date

10/08/2004

Expiration Date

03/31/2006

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005