JOSEPHINE LEWIS EARLYWINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

JOSEPHINE LEWIS

Last Name

EARLYWINE

Suffix

Business Name

JOSEPHINE LEWIS EARLYWINE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

UNION

State

Zip

60180

County

MCHENRY

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/26/2006