ROBERT OWEN LEWIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

CANCELLED

Business

First Name

ROBERT

Middle

OWEN

Last Name

LEWIS

Suffix

Business Name

ROBERT OWEN LEWIS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006