DAVID R LEWIS JR MD Medical Doctor License verification

DAVID R LEWIS JR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

LEWIS

Suffix

JR MD

Business Name

DAVID R LEWIS JR MD

Original Issue Date

06/20/1988

Effective Date

09/16/2013

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62522

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2004004251

Action

Revocation

Discipline Start Date

10/11/2006

Discipline End Date

03/27/2013

Discipline Reason

Falsified a DEA Certificate and authorized a number of controlled substances including several for a family member.