JACK MARK LEVINE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN AND SURGEON

036105772

NOT RENEWED

N

JACK

MARK

LEVINE

DO

JACK MARK LEVINE DO

10/25/2001

05/30/2008

07/31/2011

PIKETON

OH

45661

PIKE

Y

11/14/2011

2007009774

Suspension

04/06/2010

after being disciplined by the state of Ohio.