DAVID J SEWALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

SEWALL

Suffix

Business Name

DAVID J SEWALL MD

Original Issue Date

11/22/1996

Effective Date

11/22/1996

Expiration Date

07/31/2002

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006