CHARRON MCKENZIE LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143391

License Status

NOT RENEWED

Business

Title

First Name

CHARRON

Middle

MCKENZIE

Last Name

LEWIS

Business Name

CHARRON MCKENZIE LEWIS MD

Original Issue Date

06/06/2017

Effective Date

03/06/2023

Expiration Date

07/31/2023

City

RICHMOND HEIGHTS

State

Zip

44143

Ever Disciplined

LastModifiedDate

11/30/2023