TERRI H LEWIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027893

License Status

EXPIRED

Business

First Name

TERRI H

Last Name

LEWIS

Business Name

TERRI H LEWIS

Original Issue Date

05/06/1992

Effective Date

05/06/1992

Expiration Date

06/21/1995

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006