VIVIAN LEVY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093534

License Status

NOT RENEWED

Business

First Name

VIVIAN

Last Name

LEVY

Business Name

VIVIAN LEVY

Original Issue Date

07/11/1996

Effective Date

07/11/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006