BRUCE E LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071581

License Status

ACTIVE

Business

First Name

BRUCE

Middle

Last Name

LEWIS

Suffix

Business Name

BRUCE E LEWIS MD

Original Issue Date

08/28/1985

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/26/2023