JOSEPHINE LEWIS EARLYWINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036026004

License Status

NOT RENEWED

Business

First Name

JOSEPHINE LEWIS

Last Name

EARLYWINE

Suffix

Business Name

JOSEPHINE LEWIS EARLYWINE MD

Original Issue Date

08/03/1944

Effective Date

08/03/1944

Expiration Date

07/31/1990

City

UNION

State

Zip

60180

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/20/2006