DANIEL A LIEBERMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929993

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

Last Name

LIEBERMAN

Business Name

DANIEL A LIEBERMAN OD

Original Issue Date

02/23/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010