MATTHEW LEWIS NANNIE DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038012842

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

LEWIS

Last Name

NANNIE

Business Name

MATTHEW LEWIS NANNIE DC

Original Issue Date

07/07/2015

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/30/2023