WALTER J LEVY JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

WALTER J

Last Name

LEVY JR

Business Name

WALTER J LEVY JR

Original Issue Date

09/22/1995

Effective Date

09/22/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006