SHARON LEWIS LIETEAU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

SHARON LEWIS

Last Name

LIETEAU

Suffix

Business Name

SHARON LEWIS LIETEAU MD

Original Issue Date

07/13/1983

Effective Date

10/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/26/2023