MALCOLM KEITH LEWIS DDS - Dentist License in Indiana | # 019014445

MALCOLM KEITH LEWIS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014445

License Status

NOT RENEWED

Business

N

First Name

MALCOLM KEITH

Last Name

LEWIS

Suffix

DDS

Business Name

MALCOLM KEITH LEWIS DDS

Original Issue Date

07/12/1972

Effective Date

07/12/1972

Expiration Date

09/30/1988

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005