License holder summary

Dr. JACK EDWARD LEWIS is a Medical Board - 34.Doctor Of Osteopathic Medicine Emeritus licensed to practice in Ohio. The address on file for Dr. JACK EDWARD LEWIS is 12140 MALLARDS CROSSING, PETERSBURG, OH 44454. This licensed professional license is not current. The license was granted 07/01/1975 and expired on 07/01/2014.

Ohio

Board of Licensing

Dr. JACK EDWARD LEWIS
Medical Board - 34.Doctor Of Osteopathic Medicine Emeritus
License number
34.002377-EMER
Date granted
07/01/1975
Date expires
07/01/2014
Class
Medical Board - 34.Doctor Of Osteopathic Medicine Emeritus
Status
Inactive
Address
12140 MALLARDS CROSSING, PETERSBURG, OH 44454
ohiolicensing.org
ID 28446072
LAST UPDATED 2024-02-15 12:30:54 UTC

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