Malcolm Keith Lewis Dds
ExpiredIllinois license 019014445
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019014445
- Status
- Expired (Not Renewed)
- First issued
- July 12, 1972
- Expired
- September 30, 1988
- License holder
- Malcolm Keith Lewis Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/12/1972
Contact
Indianapolis, IN 46204
Indiana County