MICHAEL D LAVINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063940

License Status

ACTIVE

Business

First Name

MICHAEL D

Last Name

LAVINE

Suffix

Business Name

MICHAEL D LAVINE MD

Original Issue Date

02/25/1982

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/26/2023