JACOB LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148258

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Last Name

LEWIS

Business Name

JACOB LEWIS MD

Original Issue Date

02/05/2019

Effective Date

02/05/2019

Expiration Date

09/30/2020

City

JACKSONVILLE

State

Zip

32246

Ever Disciplined

LastModifiedDate

01/14/2021