MARY E LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

MARY E

Last Name

LEWIS

Suffix

Business Name

MARY E LEWIS MD

Original Issue Date

01/21/1986

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

DARIEN

State

Zip

60561

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023