RICHARD J LEWIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072922

License Status

INACTIVE

Business

First Name

RICHARD

Middle

Last Name

LEWIS

Suffix

Business Name

RICHARD J LEWIS MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/31/1987

City

BAYSIDE

State

Zip

11360

Ever Disciplined

LastModifiedDate

08/17/2009

Case Number

2013001003

Action

Refuse To Renew

Discipline Start Date

06/07/2013

Discipline Reason

after being disciplined by the state of Arizona.