DALILA WATFORD LEWIS MD - Medical Doctor License in Wisconsin | # 036147231

DALILA WATFORD LEWIS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147231

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DALILA

Middle

WATFORD

Last Name

LEWIS

Business Name

DALILA WATFORD LEWIS MD

Original Issue Date

08/15/2018

Effective Date

08/15/2018

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/14/2021