ANITA E PEDVIS-LEFTICK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

ANITA E

Last Name

PEDVIS-LEFTICK

Business Name

ANITA E PEDVIS-LEFTICK

Original Issue Date

08/20/1997

Effective Date

08/20/1997

Expiration Date

07/31/2002

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006