BRIAN RANDALL EWY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124343

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

RANDALL

Last Name

EWY

Suffix

Business Name

BRIAN RANDALL EWY DO

Original Issue Date

09/08/2009

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

KENNEBUNK

State

Zip

04043

County

MAINE

Ever Disciplined

LastModifiedDate

07/24/2025