MARK LEVINE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

CANCELLED

Business

First Name

MARK

Last Name

LEVINE

Suffix

Business Name

MARK LEVINE MD

Original Issue Date

08/11/1995

Effective Date

08/11/1995

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/29/2011

Case Number

2011010609

Action

Revocation

Discipline Start Date

12/29/2011

Discipline Reason

due to conviction of a criminal act that requires registration under the Sex Offender Registration Act.