CHARLES D LEVINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114369

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

LEVINE

Suffix

Business Name

CHARLES D LEVINE MD

Original Issue Date

08/08/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HORNELL

State

Zip

14843

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/06/2008