HAL A LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154695

License Status

ACTIVE

Business

Title

First Name

HAL

Middle

Last Name

LEWIS

Business Name

HAL A LEWIS MD

Original Issue Date

11/05/2020

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

05/03/2023