RICHARD KENT LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

RICHARD KENT

Last Name

LEWIS

Suffix

Business Name

RICHARD KENT LEWIS MD

Original Issue Date

04/03/1987

Effective Date

04/03/1987

Expiration Date

07/31/2008

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020