MERRAL B LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051265

License Status

NOT RENEWED

Business

First Name

MERRAL B

Last Name

LEWIS

Suffix

Business Name

MERRAL B LEWIS MD

Original Issue Date

07/10/1975

Effective Date

07/10/1975

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006