JOHNNIE LEWIS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

Title

DPM

First Name

JOHNNIE

Last Name

LEWIS

Business Name

JOHNNIE LEWIS DPM

Original Issue Date

05/28/1992

Effective Date

05/28/1992

Expiration Date

01/31/1995

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006