CHARISSA PATRICIA LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

CHARISSA

Middle

PATRICIA

Last Name

LEWIS

Business Name

CHARISSA PATRICIA LEWIS MD

Original Issue Date

08/14/2024

Effective Date

08/14/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2024