MADELINE R LEWIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077372

License Status

NOT RENEWED

Business

First Name

MADELINE R

Last Name

LEWIS

Suffix

Business Name

MADELINE R LEWIS DO

Original Issue Date

07/16/1988

Effective Date

07/16/1988

Expiration Date

07/31/1990

City

GRANGER

State

Zip

46530

County

INDIANA

Ever Disciplined

LastModifiedDate

08/17/2012