MICHAEL EDWARD LEAVELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102459

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

LEAVELL

Suffix

Business Name

MICHAEL EDWARD LEAVELL MD

Original Issue Date

05/11/2000

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SWANSEA

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/08/2023