JUSTIN P LEVISAY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105254

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

Last Name

LEVISAY

Business Name

JUSTIN P LEVISAY

Original Issue Date

07/20/2001

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/14/2023