License holder summary

DAVID MARK LEWIS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID MARK LEWIS is JEFFERSON CO EMERGENCY PHY, 722 WEST MAIN STREET, MADISON IN 47250. This licensed professional license is not current. The license was granted 12/04/1987 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

DAVID MARK LEWIS
Controlled Substance Registration - Physician
License number
01036427B
Date granted
12/04/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
JEFFERSON CO EMERGENCY PHY, 722 WEST MAIN STREET, MADISON IN 47250
indianalicensing.org
ID 5886435
LAST UPDATED 2024-03-07 06:36:15 UTC

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