JEREMY SETH LEVENTHAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046175

License Status

EXPIRED

Business

First Name

JEREMY

Middle

SETH

Last Name

LEVENTHAL

Suffix

Business Name

JEREMY SETH LEVENTHAL MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006