RONALD L LEWIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003729

License Status

NOT RENEWED

Business

First Name

RONALD L

Last Name

LEWIS

Business Name

RONALD L LEWIS

Original Issue Date

11/28/1978

Effective Date

11/28/1978

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005