License holder summary

Malcolm Keith Lewis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Malcolm Keith Lewis is 700 North Alabama Street, #514, Indianapolis IN 46204. This licensed professional license is not current. The license was granted 05/31/1986 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Malcolm Keith Lewis
Controlled Substance Registration - Dentist
License number
12006118B
Date granted
05/31/1986
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
700 North Alabama Street, #514, Indianapolis IN 46204
indianalicensing.org
ID 5103479
LAST UPDATED 2024-04-01 06:32:30 UTC

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