GREGORY LEWIS DENISON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106325

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

LEWIS

Last Name

DENISON

Business Name

GREGORY LEWIS DENISON

Original Issue Date

02/21/2002

Effective Date

12/03/2008

Expiration Date

07/31/2011

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2011