JOHNATHAN PATRICK LEWIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

JOHNATHAN

Middle

PATRICK

Last Name

LEWIS

Business Name

JOHNATHAN PATRICK LEWIS DO

Original Issue Date

03/29/2023

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023