MICHAEL D LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053652

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

LEVINE

Suffix

Business Name

MICHAEL D LEVINE MD

Original Issue Date

09/17/1976

Effective Date

09/17/1976

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/20/2011