BRETT R LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

BRETT

Middle

Last Name

LEVINE

Suffix

Business Name

BRETT R LEVINE MD

Original Issue Date

09/05/2006

Effective Date

09/05/2006

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/05/2020