ANTHONY B LEWIS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****24

NOT RENEWED

N

ANTHONY B

LEWIS

MD

ANTHONY B LEWIS MD

08/27/1985

08/27/1985

07/31/2002

CHICAGO HEIGHTS

IL

60411

COOK

II III IV V

N

10/09/2006