MARK D LEVINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160224

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

Last Name

LEVINE

Business Name

MARK D LEVINE MD

Original Issue Date

04/13/2022

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

07/28/2023