TODD G LEWIS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000601

License Status

EXPIRED

Business

First Name

TODD

Middle

Last Name

LEWIS

Suffix

DPM

Business Name

TODD G LEWIS DPM

Original Issue Date

09/15/2005

Effective Date

09/15/2005

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006