STACIE KAYE LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

KAYE

Last Name

LEVINE

Suffix

Business Name

STACIE KAYE LEVINE MD

Original Issue Date

04/24/2001

Effective Date

04/24/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020