KENNETH M LEVITAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

KENNETH M

Last Name

LEVITAN

Suffix

Business Name

KENNETH M LEVITAN MD

Original Issue Date

01/01/1997

Effective Date

12/01/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/14/2021