KELSEY MARIE LEVAULT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

KELSEY

Middle

MARIE

Last Name

LEVAULT

Business Name

KELSEY MARIE LEVAULT MD

Original Issue Date

08/11/2021

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

TAYLORVILLE

State

Zip

62568

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023