STEVEN GORDAN LEWIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

Title

DMD

First Name

STEVEN

Middle

GORDAN

Last Name

LEWIS

Business Name

STEVEN GORDAN LEWIS DMD

Original Issue Date

12/22/2020

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024