DAVID BYRON LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036436

License Status

NOT RENEWED

Business

First Name

DAVID BYRON

Last Name

LEWIS

Suffix

Business Name

DAVID BYRON LEWIS MD

Original Issue Date

05/07/1960

Effective Date

05/07/1960

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006