THEODORE H LEWIS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076036

License Status

NOT RENEWED

Business

First Name

THEODORE H

Last Name

LEWIS JR

Suffix

Business Name

THEODORE H LEWIS JR MD

Original Issue Date

09/29/1987

Effective Date

09/29/1987

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006