ELLYN S LEVINE - Medical Doctor License in New York | # 036086983

ELLYN S LEVINE

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086983

License Status

INACTIVE

Business

N

First Name

ELLYN S

Last Name

LEVINE

Business Name

ELLYN S LEVINE

Original Issue Date

07/27/1993

Effective Date

07/27/1993

Expiration Date

07/31/1996

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006