MARY ILENE LEVIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062953

License Status

INACTIVE

Business

First Name

MARY ILENE

Last Name

LEVIN

Suffix

Business Name

MARY ILENE LEVIN MD

Original Issue Date

08/24/1981

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

LOS ANGELES

State

Zip

90077

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/05/2020