LAURA DIANE LEVIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052583

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

DIANE

Last Name

LEVIN

Business Name

LAURA DIANE LEVIN DO

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/09/2007