JOHNNIE LEWIS DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

Title

DPM

First Name

JOHNNIE

Last Name

LEWIS

Business Name

JOHNNIE LEWIS DPM

Original Issue Date

09/10/1993

Effective Date

12/01/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025