JAY VINCENT LEWIS DDS - Dentist License in Illinois | # 019016991

JAY VINCENT LEWIS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016991

License Status

NOT RENEWED

Business

N

First Name

JAY VINCENT

Last Name

LEWIS

Suffix

DDS

Business Name

JAY VINCENT LEWIS DDS

Original Issue Date

10/12/1979

Effective Date

10/12/1979

Expiration Date

09/30/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005