PETER MICHAEL LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110591

License Status

NOT RENEWED

Business

First Name

PETER

Middle

MICHAEL

Last Name

LEVINE

Suffix

Business Name

PETER MICHAEL LEVINE MD

Original Issue Date

12/17/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/06/2008