DAVID MARSHALL LEAVITT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

MARSHALL

Last Name

LEAVITT

Business Name

DAVID MARSHALL LEAVITT MD

Original Issue Date

09/25/2024

Effective Date

09/25/2024

Expiration Date

07/31/2026

City

ANN ARBOR

State

Zip

48103

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024