J RANDOLPH LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

J RANDOLPH

Last Name

LEWIS

Suffix

Business Name

J RANDOLPH LEWIS MD

Original Issue Date

12/05/1984

Effective Date

12/05/1984

Expiration Date

07/31/1990

City

DUBUQUE

State

Zip

52001

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011