PATRICIA A LEWIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069164

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

LEWIS

Suffix

Business Name

PATRICIA A LEWIS DO

Original Issue Date

08/03/1984

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021