JEAN A LEWIS DMD - Dentist License in Illinois | # 137000693

JEAN A LEWIS DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000693

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

JEAN

Middle

A

Last Name

LEWIS

Business Name

JEAN A LEWIS DMD

Original Issue Date

12/06/2006

Effective Date

12/06/2006

Expiration Date

09/30/2009

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

11/04/2009