NOLAN S LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047968

License Status

NOT RENEWED

Business

First Name

NOLAN S

Last Name

LEWIS

Suffix

Business Name

NOLAN S LEWIS MD

Original Issue Date

08/23/1973

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021