JEREMY LAVINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146859

License Status

ACTIVE

Business

Title

First Name

JEREMY

Last Name

LAVINE

Business Name

JEREMY LAVINE MD

Original Issue Date

07/10/2018

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023