JOHN S LEVENTIS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****85

NOT RENEWED

N

JOHN

S

LEVENTIS

MD

JOHN S LEVENTIS MD

03/12/1997

03/12/1997

07/31/2002

LIBERTYVILLE

IL

60048

LAKE

II III IV V

N

04/12/2017