GERALD LEE LEVISAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051002

License Status

NOT RENEWED

Business

First Name

GERALD LEE

Last Name

LEVISAY

Suffix

Business Name

GERALD LEE LEVISAY MD

Original Issue Date

05/22/1975

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

11/01/2017