TIMOTHY E LEWIS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023940

License Status

INACTIVE

Business

First Name

TIMOTHY E

Last Name

LEWIS

Business Name

TIMOTHY E LEWIS

Original Issue Date

08/31/1995

Effective Date

08/05/2009

Expiration Date

09/30/2012

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/06/2012