STANLEY SHEPARD LEVSKY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026039

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

SHEPARD

Last Name

LEVSKY

Business Name

STANLEY SHEPARD LEVSKY

Original Issue Date

12/16/2002

Effective Date

12/16/2002

Expiration Date

09/30/2004

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005