MARVIN LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047406

License Status

NOT RENEWED

Business

First Name

MARVIN

Last Name

LEWIS

Suffix

Business Name

MARVIN LEWIS MD

Original Issue Date

06/05/1973

Effective Date

06/05/1973

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006