BRENT MCKEEN LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149024

License Status

NOT RENEWED

Business

Title

First Name

BRENT

Middle

MCKEEN

Last Name

LEWIS

Business Name

BRENT MCKEEN LEWIS MD

Original Issue Date

04/12/2019

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

HORSHAM

State

Zip

19044

Ever Disciplined

LastModifiedDate

11/30/2023