DARRELL WAYNE LEWIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019035

License Status

NOT RENEWED

Business

First Name

DARRELL WAYNE

Last Name

LEWIS

Business Name

DARRELL WAYNE LEWIS

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

09/30/1986

City

CLAYTON

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005