MICHAEL B LEVY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

MICHAEL

B

LEVY

MD

MICHAEL B LEVY MD

02/23/2000

02/23/2000

07/31/2008

GURNEE

IL

60031

LAKE

II III IV V

N

11/06/2008