TROY RAYBURN WILLIAM LEWIS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073792

License Status

CANCELLED

Business

Title

First Name

TROY

Middle

RAYBURN WILLIAM

Last Name

LEWIS

Business Name

TROY RAYBURN WILLIAM LEWIS DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/07/2022