LEWIS JOSEPH FERMAGLICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

LEWIS

Middle

JOSEPH

Last Name

FERMAGLICH

Suffix

Business Name

LEWIS JOSEPH FERMAGLICH MD

Original Issue Date

08/10/2010

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014