LEWIS E FRAZIER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012699

License Status

NOT RENEWED

Business

First Name

LEWIS E

Last Name

FRAZIER

Business Name

LEWIS E FRAZIER

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/1996

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/12/2005