ELI LAVIE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

ELI

Last Name

LAVIE

Business Name

ELI LAVIE

Original Issue Date

06/24/1992

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023