JERRY C LEVIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032242

License Status

INACTIVE

Business

First Name

JERRY

Middle

Last Name

LEVIN

Suffix

Business Name

JERRY C LEVIN MD

Original Issue Date

08/28/1953

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006