RICHARD JACOB LEVENTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040509

License Status

EXPIRED

Business

First Name

RICHARD

Middle

JACOB

Last Name

LEVENTER

Suffix

Business Name

RICHARD JACOB LEVENTER MD

Original Issue Date

09/28/1999

Effective Date

09/28/1999

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Clinical Neurophysiology

Ever Disciplined

LastModifiedDate

09/22/2006