KATHLEEN T LEVECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

KATHLEEN T

Last Name

LEVECK

Suffix

Business Name

KATHLEEN T LEVECK MD

Original Issue Date

12/05/1984

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017