CHRISTOPHER WALLACE LEWIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074143

License Status

EXPIRED

Business

Title

First Name

CHRISTOPHER

Middle

WALLACE

Last Name

LEWIS

Business Name

CHRISTOPHER WALLACE LEWIS MD

Original Issue Date

06/20/2022

Effective Date

06/20/2022

Expiration Date

06/19/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/06/2024