EDWIN RAYNER LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

EDWIN RAYNER

Last Name

LEVINE

Suffix

Business Name

EDWIN RAYNER LEVINE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1984000644

Action

Revocation

Discipline Start Date

09/29/1986