MILTON LANARD LEWIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024575

License Status

ACTIVE

Business

First Name

MILTON

Middle

LANARD

Last Name

LEWIS

Suffix

DDS

Business Name

MILTON LANARD LEWIS DDS

Original Issue Date

10/07/1997

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/23/2024

Case Number

2011006566

Action

Suspension

Discipline Start Date

10/14/2011

Discipline End Date

11/15/2011

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/16/2011.