B E LEWIS MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620600

License Status

NOT RENEWED

Business

Business Name

B E LEWIS MD SC

Original Issue Date

12/12/2016

Effective Date

12/12/2016

Expiration Date

01/01/2018

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018