JOHNNIE LEWIS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004605

License Status

ACTIVE

Business

Title

DPM

First Name

JOHNNIE

Last Name

LEWIS

Business Name

JOHNNIE LEWIS DPM

Original Issue Date

03/03/1992

Effective Date

12/01/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60616

Ever Disciplined

LastModifiedDate

02/26/2025