EDI LEVI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092536

License Status

INACTIVE

Business

First Name

EDI

Last Name

LEVI

Business Name

EDI LEVI

Original Issue Date

03/23/1996

Effective Date

03/23/1996

Expiration Date

07/31/1996

City

BROOKLINE

State

Zip

02146

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006