JASON A LEVY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105288

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

LEVY

Business Name

JASON A LEVY

Original Issue Date

07/26/2001

Effective Date

07/26/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006