ALFRED LEWIS GEORGE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

Title

First Name

ALFRED

Middle

LEWIS

Last Name

GEORGE

Suffix

Business Name

ALFRED LEWIS GEORGE JR MD

Original Issue Date

08/17/2015

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021