License holder summary

TIMOTHY ALLEN LEWIS is a Board Of Medicine licensed to practice in Idaho. The address on file for TIMOTHY ALLEN LEWIS is 2591 W Versailles Dr Coeur d Alene ID 83815. This licensed professional license is current. The license was granted 11/12/2004 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

TIMOTHY ALLEN LEWIS
Board Of Medicine
License number
LRT-1084
Date granted
11/12/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2591 W Versailles Dr Coeur d Alene ID 83815
idaholicensing.com
ID 48349155
LAST UPDATED 2024-03-25 04:10:34 UTC

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