JACOB D LEVY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

Last Name

LEVY

Business Name

JACOB D LEVY MD

Original Issue Date

03/19/2018

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

ATLANTA

State

Zip

30329

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021