ALLEN THOMAS LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109880

License Status

NOT RENEWED

Business

First Name

ALLEN

Middle

THOMAS

Last Name

LEWIS

Suffix

Business Name

ALLEN THOMAS LEWIS MD

Original Issue Date

08/07/2003

Effective Date

05/04/2011

Expiration Date

07/31/2014

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

11/17/2014