DAVID R LEWIS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077056

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

LEWIS

Suffix

JR MD

Business Name

DAVID R LEWIS JR MD

Original Issue Date

06/04/1988

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2006004257

Action

Probation

Discipline Start Date

05/19/2011

Discipline End Date

01/12/2016

Discipline Reason

for failure to comply with the terms and conditions of a prior Care, Counseling and Treatment Agreement.