DAN ISRAEL LEBOVIC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

DAN

Middle

ISRAEL

Last Name

LEBOVIC

Business Name

DAN ISRAEL LEBOVIC MD

Original Issue Date

10/07/2022

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023