MICHAEL JOSEPH LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOSEPH

Last Name

LEWIS

Suffix

Business Name

MICHAEL JOSEPH LEWIS MD

Original Issue Date

05/10/2007

Effective Date

05/10/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008