MICAH ZACHARY LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

Title

First Name

MICAH

Middle

ZACHARY

Last Name

LEVINE

Business Name

MICAH ZACHARY LEVINE MD

Original Issue Date

06/18/2020

Effective Date

06/18/2020

Expiration Date

07/31/2023

City

OVERLAND PARK

State

Zip

66210

County

JOHNSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023