ALICE-GRAY LEWIS DO - Medical Doctor License in California | # 125072035

ALICE-GRAY LEWIS DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072035

License Status

CANCELLED

Business

N

Title

DO

First Name

ALICE-GRAY

Last Name

LEWIS

Business Name

ALICE-GRAY LEWIS DO

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

State

CA

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

04/18/2018