MARTIN GWENT LEWIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060355

License Status

INACTIVE

Business

First Name

MARTIN GWENT

Last Name

LEWIS

Suffix

Business Name

MARTIN GWENT LEWIS MD

Original Issue Date

06/03/1980

Effective Date

06/03/1980

Expiration Date

07/31/1987

City

ST PETERSBURG

State

Zip

33707

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006