BRETT D LEAVEY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

Title

DDS

First Name

BRETT

Middle

Last Name

LEAVEY

Business Name

BRETT D LEAVEY DDS

Original Issue Date

06/10/2021

Effective Date

05/19/2025

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2025