ELLIOT MARK LEVINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059593

License Status

ACTIVE

Business

First Name

ELLIOT MARK

Last Name

LEVINE

Suffix

Business Name

ELLIOT MARK LEVINE MD

Original Issue Date

10/26/1979

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023