SUSAN M LEWINSKI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092516

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

LEWINSKI

Business Name

SUSAN M LEWINSKI

Original Issue Date

03/19/1996

Effective Date

04/25/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021