NAT TREVOR LEVY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107143

License Status

NOT RENEWED

Business

First Name

NAT

Middle

TREVOR

Last Name

LEVY

Suffix

Business Name

NAT TREVOR LEVY MD

Original Issue Date

06/07/2002

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

TEANECK

State

Zip

07666

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

01/14/2021