PETER MICHAEL LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

PETER

Middle

MICHAEL

Last Name

LEVINE

Suffix

Business Name

PETER MICHAEL LEVINE MD

Original Issue Date

12/17/2003

Effective Date

12/17/2003

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008