THOMAS ARTHUR LEWIS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012654

License Status

INACTIVE

Business

First Name

THOMAS ARTHUR

Last Name

LEWIS

Suffix

DDS

Business Name

THOMAS ARTHUR LEWIS DDS

Original Issue Date

06/04/1965

Effective Date

06/04/1965

Expiration Date

09/30/2000

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005