GERALD LEE LEVISAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

GERALD LEE

Last Name

LEVISAY

Suffix

Business Name

GERALD LEE LEVISAY MD

Original Issue Date

01/01/1997

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017