MATTHEW ROBERT LEWIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079032

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

ROBERT

Last Name

LEWIS

Business Name

MATTHEW ROBERT LEWIS DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2025

City

URBANA

State

Zip

61801

County

MCLEAN

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

11/03/2025