WOOD VAN LEWIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056514

License Status

INACTIVE

Business

First Name

WOOD VAN

Last Name

LEWIS

Suffix

Business Name

WOOD VAN LEWIS MD

Original Issue Date

02/09/1978

Effective Date

02/09/1978

Expiration Date

07/31/1987

City

ALBUQUERQUE

State

Zip

87106

Ever Disciplined

LastModifiedDate

08/20/2012