LAUREN MELISSA LEWIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055273

License Status

EXPIRED

Business

Title

First Name

LAUREN

Middle

MELISSA

Last Name

LEWIS

Business Name

LAUREN MELISSA LEWIS MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

08/29/2012