MICHAEL EDWARD LEAVELL MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****73

ACTIVE

N

MICHAEL

EDWARD

LEAVELL

MD

MICHAEL EDWARD LEAVELL MD

06/05/2000

04/08/2023

07/31/2026

BELLEVILLE

IL

62226

SAINT CLAIR

II III IV V

N

04/08/2023