Peter Wallace Lewis

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085004035

Status

Expired (Not Renewed)

First issued

May 25, 2011

Expired

March 1, 2014

License holder

Peter Wallace Lewis

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/22/2012

Other Illinois licenses under this name

• IL
  Peter Wallace Lewis

  License 38*****90

  Physician Assistant Controlled Substance
  Expired

  Sesser, IL

  Expired Mar 1, 2014

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