VIVIAN LEVY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

VIVIAN

Last Name

LEVY

Business Name

VIVIAN LEVY

Original Issue Date

04/16/1997

Effective Date

04/16/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006