RACHEL BOOTH LEWIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039021

License Status

CANCELLED

Business

Title

First Name

RACHEL

Middle

BOOTH

Last Name

LEWIS

Business Name

RACHEL BOOTH LEWIS MD

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/20/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006