LEWIS JOSEPH FERMAGLICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126453

License Status

NOT RENEWED

Business

First Name

LEWIS

Middle

JOSEPH

Last Name

FERMAGLICH

Suffix

Business Name

LEWIS JOSEPH FERMAGLICH MD

Original Issue Date

08/10/2010

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014