MICHELLE T LEWIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053703

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

Last Name

LEWIS

Suffix

Business Name

MICHELLE T LEWIS MD

Original Issue Date

07/06/2009

Effective Date

07/06/2009

Expiration Date

08/09/2009

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/26/2009