AMY LISA LEVIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049827

License Status

EXPIRED

Business

Title

First Name

AMY

Middle

LISA

Last Name

LEVIN

Business Name

AMY LISA LEVIN MD

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

06/26/2008

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/31/2008