Ira Mark Levin
Controlled Substance Registration - Physician
Indiana 01040841B Revoked
This Indiana license was held by Ira Mark Levin. The license is no longer active. It was granted on 11/23/1992 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01040841B
- Category: CSR-Physician
- Status: Revoked
- Date Granted: 11/23/1992 (over 33 years ago)
- Expiry Date: 06/30/1995 (almost 31 years ago)
LOCATIONS
A Address
1375 WINTERBERRY CT, TERRE HAUTE IN 47802