KRISTIN MICHELLE LEWIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074217

License Status

EXPIRED

Business

Title

First Name

KRISTIN

Middle

MICHELLE

Last Name

LEWIS

Business Name

KRISTIN MICHELLE LEWIS MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/11/2022