WILLIAM FRED LEAVITT DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****93

NOT RENEWED

N

WILLIAM FRED

LEAVITT

DDS

WILLIAM FRED LEAVITT DDS

01/01/1998

06/13/2018

01/31/2022

HIGHLAND PARK

IL

60035

LAKE

II III IV V

Y

05/09/2022

1988000453

Probation

02/17/1991

02/17/1992

Prescribed controlled substances outside the scope of his dental practice.