LAURENCE A LEVINE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126378

License Status

NOT RENEWED

Business

First Name

LAURENCE

Middle

Last Name

LEVINE

Business Name

LAURENCE A LEVINE

Original Issue Date

08/02/2010

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

ST LOUIS

State

Zip

63126

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023