MITCHELL LAINE LEWIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134138

License Status

NOT RENEWED

Business

Title

First Name

MITCHELL

Middle

LAINE

Last Name

LEWIS

Business Name

MITCHELL LAINE LEWIS MD

Original Issue Date

11/06/2013

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

MADISON

State

Zip

53717

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017