JASON EVAN LEVINE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128989

License Status

INACTIVE

Business

Title

First Name

JASON

Middle

EVAN

Last Name

LEVINE

Business Name

JASON EVAN LEVINE MD

Original Issue Date

09/20/2011

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

HOLLYWOOD

State

Zip

33021

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/12/2017