Timothy E Lewis
InactiveIllinois license 019023940
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019023940
- Status
- Inactive
- First issued
- August 31, 1995
- Expired
- September 30, 2012
- License holder
- Timothy E Lewis
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/05/2009
Contact
Hannibal, MO 63401
Missouri County