ALLEN THOMAS LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

ALLEN

Middle

THOMAS

Last Name

LEWIS

Suffix

Business Name

ALLEN THOMAS LEWIS MD

Original Issue Date

08/07/2003

Effective Date

08/21/2008

Expiration Date

07/31/2011

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011