FREDERICK C LEWIS JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000642

License Status

EXPIRED

Business

First Name

FREDERICK

Middle

Last Name

LEWIS JR

Suffix

Business Name

FREDERICK C LEWIS JR MD

Original Issue Date

04/04/2005

Effective Date

04/04/2005

Expiration Date

05/03/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006