STEPHEN WILLIAM LEWELLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170719

License Status

ACTIVE

Business

Title

First Name

STEPHEN

Middle

WILLIAM

Last Name

LEWELLIS

Business Name

STEPHEN WILLIAM LEWELLIS MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

07/31/2026

City

WAUSAU

State

Zip

54403

Ever Disciplined

LastModifiedDate

06/24/2024