DAVID LAWRENCE LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

DAVID LAWRENCE

Last Name

LEVINE

Suffix

Business Name

DAVID LAWRENCE LEVINE MD

Original Issue Date

07/12/1995

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017