SUSAN PLASKOW LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

PLASKOW

Last Name

LEVINE

Suffix

Business Name

SUSAN PLASKOW LEVINE MD

Original Issue Date

11/26/1997

Effective Date

11/26/1997

Expiration Date

07/31/2008

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017