MITCHELL LAINE LEWIS MD - Medical Doctor License in Wisconsin | # 036134138

MITCHELL LAINE LEWIS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134138

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MITCHELL

Middle

LAINE

Last Name

LEWIS

Business Name

MITCHELL LAINE LEWIS MD

Original Issue Date

11/06/2013

Effective Date

04/17/2014

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017