PHILIP L LEVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075705

License Status

NOT RENEWED

Business

First Name

PHILIP L

Last Name

LEVIN

Suffix

Business Name

PHILIP L LEVIN MD

Original Issue Date

08/23/1987

Effective Date

08/23/1987

Expiration Date

07/31/1990

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/20/2006