EDMUND JEAN LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045051

License Status

NOT RENEWED

Business

First Name

EDMUND JEAN

Last Name

LEWIS

Suffix

Business Name

EDMUND JEAN LEWIS MD

Original Issue Date

12/16/1971

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017