DANIEL A LIEBERMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

Last Name

LIEBERMAN

Business Name

DANIEL A LIEBERMAN OD

Original Issue Date

07/29/1996

Effective Date

01/27/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60639

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016