The holder whose full name is LEWIS, MICHAEL ALEXANDER,come from LEXINGTON KY,hold the Physician license(NO.01040965A) which status is Expired Non-Renewable.
| Name | LEWIS, MICHAEL ALEXANDER |
|---|---|
| License Number | 01040965A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LEXINGTON |
| State | KY |