TODD G LEWIS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005548

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

LEWIS

Suffix

DPM

Business Name

TODD G LEWIS DPM

Original Issue Date

09/18/2012

Effective Date

01/20/2015

Expiration Date

01/31/2017

City

WICHITA

State

Zip

67226

County

KANSAS

Ever Disciplined

LastModifiedDate

03/27/2017