License holder summary

IVOR FENTON LEWIS is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for IVOR FENTON LEWIS is 701 WEST OAK ST Frackville PA 17931. This licensed professional license is not current. The license was granted 12/26/2008.

Pennsylvania

Department of State

IVOR FENTON LEWIS
Medicine - Written Agreement
License number
MX008588
Date granted
12/26/2008
Class
Medicine - Written Agreement
Status
Inactive
Address
701 WEST OAK ST Frackville PA 17931
palicensing.org
ID 16660772
LAST UPDATED 2024-03-28 08:21:43 UTC

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