CLAYTON C LEWIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007004

License Status

ACTIVE

Business

First Name

CLAYTON

Middle

Last Name

LEWIS

Business Name

CLAYTON C LEWIS

Original Issue Date

03/20/2019

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/06/2026