AMY LISA LEVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120809

License Status

NOT RENEWED

Business

Title

First Name

AMY

Middle

LISA

Last Name

LEVIN

Business Name

AMY LISA LEVIN MD

Original Issue Date

05/07/2008

Effective Date

05/07/2008

Expiration Date

07/31/2011

City

DRAPER

State

Zip

84020

Ever Disciplined

LastModifiedDate

01/06/2012