MICHAEL JOSEPH LEWIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077619

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

JOSEPH

Last Name

LEWIS

Business Name

MICHAEL JOSEPH LEWIS DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024