LEWIN WYATT JR DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058972

License Status

INACTIVE

Business

First Name

LEWIN

Last Name

WYATT JR

Suffix

Business Name

LEWIN WYATT JR DO

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

07/31/1987

City

FLINT

State

Zip

48504

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006