DANIEL I LEVY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111686

License Status

INACTIVE

Business

First Name

DANIEL

Middle

Last Name

LEVY

Suffix

Business Name

DANIEL I LEVY MD

Original Issue Date

06/24/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MERION STATION

State

Zip

19066

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

04/07/2011