PAUL E LEWIS III MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****10

NOT RENEWED

N

PAUL

E

LEWIS

III MD

PAUL E LEWIS III MD

08/05/2005

07/07/2008

07/31/2011

BELLEVILLE

IL

62220

SAINT CLAIR

II III IV V

N

04/12/2017