HARRIS DANIEL PA LEVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056599

License Status

NOT RENEWED

Business

First Name

HARRIS DANIEL PA

Last Name

LEVIN

Suffix

Business Name

HARRIS DANIEL PA LEVIN MD

Original Issue Date

04/13/1978

Effective Date

04/13/1978

City

ST LOUIS

State

Zip

63139

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006