ROBERT D LEWIS 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

ROBERT

Middle

Last Name

LEWIS

Suffix

Business Name

ROBERT D LEWIS MD

Original Issue Date

05/26/1998

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020