SUSAN PLASKOW LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

PLASKOW

Last Name

LEVINE

Suffix

Business Name

SUSAN PLASKOW LEVINE MD

Original Issue Date

01/01/1997

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017