FREDERICK LEVY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

FREDERICK

Last Name

LEVY

Suffix

Business Name

FREDERICK LEVY MD

Original Issue Date

12/28/2023

Effective Date

12/28/2023

Expiration Date

07/31/2026

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/28/2023