CALVIN DARNELL LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

CALVIN

Middle

DARNELL

Last Name

LEWIS

Business Name

CALVIN DARNELL LEWIS MD

Original Issue Date

09/15/2022

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023