LESLIE LEVY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

LESLIE

Last Name

LEVY

Suffix

Business Name

LESLIE LEVY MD

Original Issue Date

07/15/1996

Effective Date

06/11/2023

Expiration Date

07/31/2026

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2023