VALERAE OLIVE LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

VALERAE

Middle

OLIVE

Last Name

LEWIS

Suffix

Business Name

VALERAE OLIVE LEWIS MD

Original Issue Date

06/17/1999

Effective Date

06/17/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006