GARY LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

GARY

Last Name

LEWIS

Suffix

Business Name

GARY LEWIS MD

Original Issue Date

08/08/1985

Effective Date

08/08/1985

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006