DAVID A LEVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121355

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

LEVIN

Business Name

DAVID A LEVIN MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011