DONALD ROBERT LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

ROBERT

Last Name

LEWIS

Suffix

Business Name

DONALD ROBERT LEWIS MD

Original Issue Date

12/18/1998

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021