LEWIS E FRAZIER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

LEWIS E

Last Name

FRAZIER

Business Name

LEWIS E FRAZIER

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005