MARSHALL C LEWIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026499

License Status

EXPIRED

Business

First Name

MARSHALL C

Last Name

LEWIS

Suffix

Business Name

MARSHALL C LEWIS MD

Original Issue Date

05/08/1991

Effective Date

05/08/1991

Expiration Date

06/23/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006