KRISTEN ELIZABETH LEWIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

ELIZABETH

Last Name

LEWIS

Business Name

KRISTEN ELIZABETH LEWIS

Original Issue Date

08/17/2023

Effective Date

01/01/2026

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/01/2026