STEVEN JAY LAVINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155996

License Status

ACTIVE

Business

Title

First Name

STEVEN

Middle

JAY

Last Name

LAVINE

Business Name

STEVEN JAY LAVINE MD

Original Issue Date

03/10/2021

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

PILOT MOUNTAIN

State

Zip

27041

Ever Disciplined

LastModifiedDate

07/27/2023