JOHN EDWARD LEVIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

EDWARD

Last Name

LEVIN

Suffix

DDS

Business Name

JOHN EDWARD LEVIN DDS

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

09/30/2006

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/08/2006