TODD G LEWIS DPM - Podiatrist License in Illinois | # 135000601

TODD G LEWIS DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000601

License Status

EXPIRED

Business

N

First Name

TODD

Middle

G

Last Name

LEWIS

Suffix

DPM

Business Name

TODD G LEWIS DPM

Original Issue Date

09/15/2005

Effective Date

09/15/2005

Expiration Date

06/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006