THOMAS E LEVRAULT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

THOMAS E

Last Name

LEVRAULT

Suffix

Business Name

THOMAS E LEVRAULT MD

Original Issue Date

07/16/1997

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014