PAUL BENNETT LEWIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053059

License Status

CANCELLED

Business

First Name

PAUL

Middle

BENNETT

Last Name

LEWIS

Suffix

Business Name

PAUL BENNETT LEWIS MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

OAKMONT

State

Zip

15139

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

04/19/2010