LEVI FUNCHES JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

LEVI

Last Name

FUNCHES JR

Business Name

LEVI FUNCHES JR

Original Issue Date

05/18/2006

Effective Date

07/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017