STEVEN GORDAN LEWIS DMD - Dentist License in Ohio | # 31*****20

STEVEN GORDAN LEWIS DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

STEVEN

Middle

GORDAN

Last Name

LEWIS

Business Name

STEVEN GORDAN LEWIS DMD

Original Issue Date

10/05/2009

Effective Date

09/09/2015

Expiration Date

09/30/2018

State

OH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

10/31/2018