IAN LEVI STINES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153047

License Status

NOT RENEWED

Business

Title

First Name

IAN

Middle

LEVI

Last Name

STINES

Business Name

IAN LEVI STINES MD

Original Issue Date

05/19/2020

Effective Date

05/19/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

Ever Disciplined

LastModifiedDate

11/30/2023