EDI LEVI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029178

License Status

EXPIRED

Business

First Name

EDI

Last Name

LEVI

Business Name

EDI LEVI

Original Issue Date

11/12/1992

Effective Date

11/12/1992

Expiration Date

11/09/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006