NATALIE H LIEBERMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****20

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

Last Name

LIEBERMAN

Suffix

Business Name

NATALIE H LIEBERMAN OD

Original Issue Date

07/29/1996

Effective Date

02/13/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60639

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006