VIVIAN LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069614

License Status

NOT RENEWED

Business

First Name

VIVIAN

Last Name

LEWIS

Suffix

Business Name

VIVIAN LEWIS MD

Original Issue Date

10/09/1984

Effective Date

10/09/1984

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006