JEAN A LEWIS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002252

License Status

NOT RENEWED

Business

Title

DMD

First Name

JEAN

Middle

Last Name

LEWIS

Business Name

JEAN A LEWIS DMD

Original Issue Date

12/26/2007

Effective Date

08/11/2015

Expiration Date

09/30/2018

City

PHOENIX

State

Zip

85003

County

ARIZONA

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

10/31/2018