SAMUEL JACOB LEVIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082976

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

JACOB

Last Name

LEVIN

Business Name

SAMUEL JACOB LEVIN MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/22/2023