License holder summary

PHILLIP M LEVIN is a Board Of Medicine licensed to practice in Idaho. The address on file for PHILLIP M LEVIN is 8631 W. Third St. LOS ANGELES CA 90048. This licensed professional license is not current. The license was granted 03/24/1986 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

PHILLIP M LEVIN
Board Of Medicine
License number
M-5051
Date granted
03/24/1986
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
8631 W. Third St. LOS ANGELES CA 90048
idaholicensing.com
ID 48348987
LAST UPDATED 2024-03-29 03:31:32 UTC

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