SAM LEVENS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002174

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

LEVENS

Business Name

SAM LEVENS

Original Issue Date

07/03/1953

Effective Date

07/03/1953

Expiration Date

01/31/1991

City

EVERGREEN PARK

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006