LAWRENCE F LEVENSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

LAWRENCE F

Last Name

LEVENSON

Business Name

LAWRENCE F LEVENSON

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005