WILLIAM W LEWIS-DE LOS ANGELES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066012

License Status

CANCELLED

Business

Title

First Name

WILLIAM

Middle

Last Name

LEWIS-DE LOS ANGELES

Business Name

WILLIAM W LEWIS-DE LOS ANGELES MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/01/2014