License holder summary

CREIGHTON MAX LEWIS is a Board Of Medicine licensed to practice in Idaho. The address on file for CREIGHTON MAX LEWIS is 150 N 750 E BOUNTIFUL UT 84010. This licensed professional license is not current. The license was granted 05/11/2015 and expired on 06/30/2016.

Idaho

Division of Occupational and Professional Licenses

CREIGHTON MAX LEWIS
Board Of Medicine
License number
MRM-1483
Date granted
05/11/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
150 N 750 E BOUNTIFUL UT 84010
idaholicensing.com
ID 48349112
LAST UPDATED 2024-04-19 09:46:02 UTC

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