ANTHONY B LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071309

License Status

NOT RENEWED

Business

First Name

ANTHONY B

Last Name

LEWIS

Suffix

Business Name

ANTHONY B LEWIS MD

Original Issue Date

08/02/1985

Effective Date

08/02/1985

Expiration Date

07/31/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006