EDMUND JEAN LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

EDMUND JEAN

Last Name

LEWIS

Suffix

Business Name

EDMUND JEAN LEWIS MD

Original Issue Date

01/01/1997

Effective Date

08/20/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017