AMANDA J LEWIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

LEWIS

Suffix

DMD

Business Name

AMANDA J LEWIS DMD

Original Issue Date

01/03/2006

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024