JEAN A LEWIS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025954

License Status

NOT RENEWED

Business

Title

DMD

First Name

JEAN

Middle

Last Name

LEWIS

Business Name

JEAN A LEWIS DMD

Original Issue Date

09/03/2002

Effective Date

08/11/2015

Expiration Date

09/30/2018

City

PHOENIX

State

Zip

85003

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/31/2018