WANDA LEWIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096334

License Status

INACTIVE

Business

First Name

WANDA

Last Name

LEWIS

Suffix

Business Name

WANDA LEWIS MD

Original Issue Date

08/07/1997

Effective Date

08/07/1997

Expiration Date

07/31/2002

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

08/01/2012