JUSTIN P LEVISAY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

Last Name

LEVISAY

Business Name

JUSTIN P LEVISAY

Original Issue Date

04/18/2002

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023