DAVID R LEWIS JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020346

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

LEWIS

Suffix

JR MD

Business Name

DAVID R LEWIS JR MD

Original Issue Date

07/16/1987

Effective Date

07/16/1987

Expiration Date

07/16/1990

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006