License holder summary

PATRICK K LEWALLEN is a Physician licensed to practice in Indiana. The address on file for PATRICK K LEWALLEN is PORTLAND OR 97227. This licensed professional license is not current. The license was granted 09/15/1980 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

PATRICK K LEWALLEN
Physician
License number
01030376A
Date granted
09/15/1980
Date expires
06/30/2011
Class
Physician
Status
Expired Non-Renewable
Address
PORTLAND OR 97227
indianalicensing.org
ID 6094568
LAST UPDATED 2024-04-11 16:43:48 UTC

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