NAT TREVOR LEVY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

NAT

Middle

TREVOR

Last Name

LEVY

Suffix

Business Name

NAT TREVOR LEVY MD

Original Issue Date

07/11/2002

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

TEANECK

State

Zip

07666

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021