DONALD ROBERT LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099408

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

ROBERT

Last Name

LEWIS

Suffix

Business Name

DONALD ROBERT LEWIS MD

Original Issue Date

12/18/1998

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

01/14/2021