IVAN LEVIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151874

License Status

INACTIVE

Business

Title

First Name

IVAN

Last Name

LEVIN

Business Name

IVAN LEVIN MD

Original Issue Date

02/19/2020

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

WHITE RIVER JUNCTION

State

Zip

05001

Ever Disciplined

LastModifiedDate

06/18/2023