ELLYN S LEVINE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086983

License Status

INACTIVE

Business

First Name

ELLYN S

Last Name

LEVINE

Business Name

ELLYN S LEVINE

Original Issue Date

07/27/1993

Effective Date

07/27/1993

Expiration Date

07/31/1996

City

NEW ROCHELLE

State

Zip

10804

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006