SAM LEVENS - Podiatrist License in Illinois | # 016002174

SAM LEVENS

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002174

License Status

NOT RENEWED

Business

N

First Name

SAM

Last Name

LEVENS

Business Name

SAM LEVENS

Original Issue Date

07/03/1953

Effective Date

07/03/1953

Expiration Date

01/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006