WILLIAM I LEWIS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****38

NOT RENEWED

N

WILLIAM I

LEWIS

MD

WILLIAM I LEWIS MD

11/26/1985

11/26/1985

07/31/1987

SPRINGFIELD

IL

62708

SANGAMON

II III IV V

N

09/26/2006