CHRISTA MICHELLE LEWIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150997

License Status

NOT RENEWED

Business

Title

First Name

CHRISTA

Middle

MICHELLE

Last Name

LEWIS

Business Name

CHRISTA MICHELLE LEWIS DO

Original Issue Date

10/11/2019

Effective Date

05/04/2020

Expiration Date

07/31/2023

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023