DAVID LAWRENCE LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090767

License Status

NOT RENEWED

Business

First Name

DAVID LAWRENCE

Last Name

LEVINE

Suffix

Business Name

DAVID LAWRENCE LEVINE MD

Original Issue Date

05/25/1995

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017