ERNEST C LEVISTER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046630

License Status

NOT RENEWED

Business

First Name

ERNEST C

Last Name

LEVISTER JR

Suffix

Business Name

ERNEST C LEVISTER JR MD

Original Issue Date

11/16/1972

Effective Date

11/16/1972

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006