BARBARA R LEWIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

BARBARA

Middle

Last Name

LEWIS

Suffix

DMD

Business Name

BARBARA R LEWIS DMD

Original Issue Date

01/18/2002

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2024