ELLYN S LEVINE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026654

License Status

EXPIRED

Business

First Name

ELLYN S

Last Name

LEVINE

Business Name

ELLYN S LEVINE

Original Issue Date

05/14/1991

Effective Date

05/14/1991

Expiration Date

06/20/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006