JENNAIRE T LEWARS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077899

License Status

CANCELLED

Business

First Name

JENNAIRE

Middle

Last Name

LEWARS

Business Name

JENNAIRE T LEWARS

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

URBANA

State

Zip

61801

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/07/2021