JACK JOSEPH LEWIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019003623

License Status

NOT RENEWED

Business

First Name

JACK JOSEPH

Last Name

LEWIS

Business Name

JACK JOSEPH LEWIS

Original Issue Date

12/19/1922

Effective Date

12/19/1922

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005