LEVI THOMAS MCDANIEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064066

License Status

CANCELLED

Business

First Name

LEVI

Middle

THOMAS

Last Name

MCDANIEL

Suffix

Business Name

LEVI THOMAS MCDANIEL MD

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014