SCOTT WAYNE LEWIS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

First Name

SCOTT WAYNE

Last Name

LEWIS

Business Name

SCOTT WAYNE LEWIS

Original Issue Date

04/17/1996

Effective Date

03/08/2022

Expiration Date

03/31/2024

City

WATERLOO

State

Zip

62298

County

MONROE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025