MARSHALL C LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087001

License Status

NOT RENEWED

Business

First Name

MARSHALL C

Last Name

LEWIS

Suffix

Business Name

MARSHALL C LEWIS MD

Original Issue Date

07/28/1993

Effective Date

07/28/1993

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006