IGOR LEVIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095109

License Status

INACTIVE

Business

First Name

IGOR

Last Name

LEVIN

Suffix

Business Name

IGOR LEVIN MD

Original Issue Date

03/21/1997

Effective Date

03/21/1997

Expiration Date

07/31/2005

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006