JACK JOSEPH LEWIS - Dentist License in Illinois | # 019003623

JACK JOSEPH LEWIS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019003623

License Status

NOT RENEWED

Business

N

First Name

JACK JOSEPH

Last Name

LEWIS

Business Name

JACK JOSEPH LEWIS

Original Issue Date

12/19/1922

Effective Date

12/19/1922

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005