GREGORY D LEWEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045684

License Status

EXPIRED

Business

First Name

GREGORY

Middle

Last Name

LEWEN

Suffix

Business Name

GREGORY D LEWEN MD

Original Issue Date

04/28/2003

Effective Date

04/28/2003

Expiration Date

06/22/2004

City

OAK PARK

State

Zip

60302

Ever Disciplined

LastModifiedDate

09/22/2006