KEVIN LANE LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167566

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

LANE

Last Name

LEWIS

Business Name

KEVIN LANE LEWIS MD

Original Issue Date

11/02/2023

Effective Date

11/02/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62707

Ever Disciplined

LastModifiedDate

08/14/2023