MARK G LEWIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017829

License Status

EXPIRED

Business

First Name

MARK G

Last Name

LEWIS

Suffix

Business Name

MARK G LEWIS MD

Original Issue Date

05/03/1985

Effective Date

05/03/1985

Expiration Date

06/23/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006