DANIEL ADAM LEVINE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074649

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

ADAM

Last Name

LEVINE

Business Name

DANIEL ADAM LEVINE MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

06/22/2023

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

01/25/2022