RONALD L LEWIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

RONALD L

Last Name

LEWIS

Business Name

RONALD L LEWIS

Original Issue Date

08/05/1985

Effective Date

12/01/2021

Expiration Date

09/30/2024

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025