DARRELL WAYNE LEWIS - Dentist License in Missouri | # 019019035

DARRELL WAYNE LEWIS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019035

License Status

NOT RENEWED

Business

N

First Name

DARRELL WAYNE

Last Name

LEWIS

Business Name

DARRELL WAYNE LEWIS

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

09/30/1986

State

MO

Ever Disciplined

N

LastModifiedDate

10/12/2005