ZACHARY JOHN LEWIS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056565

License Status

CANCELLED

Business

Title

First Name

ZACHARY

Middle

JOHN

Last Name

LEWIS

Business Name

ZACHARY JOHN LEWIS DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

SILVIS

State

Zip

61282

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/28/2009