RICHARD IRA LEVY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

RICHARD IRA

Last Name

LEVY

Business Name

RICHARD IRA LEVY

Original Issue Date

10/10/1983

Effective Date

10/10/1983

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005