THEODORE H LEWIS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

THEODORE H

Last Name

LEWIS JR

Suffix

Business Name

THEODORE H LEWIS JR MD

Original Issue Date

02/24/1988

Effective Date

02/24/1988

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006