JOHN DEREK LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

JOHN

Middle

DEREK

Last Name

LEWIS

Suffix

Business Name

JOHN DEREK LEWIS MD

Original Issue Date

07/19/2011

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

MINNESOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023