HARRIS DANIEL PA LEVIN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****68

NOT RENEWED

N

HARRIS DANIEL PA

LEVIN

MD

HARRIS DANIEL PA LEVIN MD

01/01/1997

09/01/1982

WOODRIVER

IL

62095

MADISON

II III IV V

N

09/26/2006