JOHNATHAN PATRICK LEWIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163696

License Status

ACTIVE

Business

Title

First Name

JOHNATHAN

Middle

PATRICK

Last Name

LEWIS

Business Name

JOHNATHAN PATRICK LEWIS DO

Original Issue Date

02/15/2023

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

06/17/2023