RICHARD FRANK LAVI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

CANCELLED

Business

First Name

RICHARD

Middle

FRANK

Last Name

LAVI

Suffix

Business Name

RICHARD FRANK LAVI MD

Original Issue Date

10/28/2005

Effective Date

10/28/2005

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2008