MARC S LEWIS Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002705

License Status

INACTIVE

Business

First Name

MARC S

Last Name

LEWIS

Business Name

MARC S LEWIS

Original Issue Date

06/29/1972

Effective Date

06/29/1972

Expiration Date

01/31/1985

City

CUDAHY

State

Zip

53110

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006