NATASHA NICHOLE LEWIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062146

License Status

EXPIRED

Business

Title

First Name

NATASHA

Middle

NICHOLE

Last Name

LEWIS

Business Name

NATASHA NICHOLE LEWIS MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/25/2018