BENJAMIN ROBERT LEVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

ROBERT

Last Name

LEVIN

Business Name

BENJAMIN ROBERT LEVIN MD

Original Issue Date

03/28/2018

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021