MICHAEL D LAVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

LAVINE

Suffix

Business Name

MICHAEL D LAVINE MD

Original Issue Date

07/26/1983

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023