GARY LEWIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017687

License Status

EXPIRED

Business

First Name

GARY

Last Name

LEWIS

Suffix

Business Name

GARY LEWIS MD

Original Issue Date

10/03/1984

Effective Date

10/03/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006