ALEX JAY LEVERENTZ

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****03

ACTIVE

N

ALEX

JAY

LEVERENTZ

ALEX JAY LEVERENTZ

10/31/2014

12/21/2025

03/01/2028

ARLINGTON HEIGHTS

IL

60005

COOK

II III IV V

N

12/21/2025