FREDERIC E LEVY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****93

NOT RENEWED

N

FREDERIC E

LEVY

MD

FREDERIC E LEVY MD

04/27/1992

04/27/1992

07/31/1996

CHICAGO

IL

60602

COOK

II III IV V

N

04/05/2020