STANLEY SHEPARD LEVSKY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

SHEPARD

Last Name

LEVSKY

Business Name

STANLEY SHEPARD LEVSKY

Original Issue Date

12/31/2002

Effective Date

12/31/2002

Expiration Date

09/30/2004

City

DUNLAP

State

Zip

61525

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005