MADELINE R LEWIS DO - Medical Doctor License in Indiana | # 036077372

MADELINE R LEWIS DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077372

License Status

NOT RENEWED

Business

N

First Name

MADELINE R

Last Name

LEWIS

Suffix

DO

Business Name

MADELINE R LEWIS DO

Original Issue Date

07/16/1988

Effective Date

07/16/1988

Expiration Date

07/31/1990

State

IN

Ever Disciplined

N

LastModifiedDate

08/17/2012