CHARLES W LEWIS Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002249

License Status

INACTIVE

Business

First Name

CHARLES W

Last Name

LEWIS

Business Name

CHARLES W LEWIS

Original Issue Date

12/30/1977

Effective Date

07/16/2012

Expiration Date

09/30/2014

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/03/2014

Case Number

1988001270

Action

Probation

Discipline Start Date

11/09/1989

Discipline End Date

11/09/1990