License holder summary

Frederick Bruce Lewis is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Frederick Bruce Lewis is 4300 Cottage Park Road, White Bear Lake, MN 55110. This doctor license is not current. The license was granted 11/04/1966 and expired on 07/31/2010.

Department of Safety and Professional Services

Board of Medical Practice

Frederick Bruce Lewis
Medical - Physician And Surgeon
License number
17580
Date granted
11/04/1966
Date expires
07/31/2010
Class
Medical - Physician And Surgeon
Status
Canceled
Address
4300 Cottage Park Road, White Bear Lake, MN 55110
doctorsminnesota.org
ID 22244334
LAST UPDATED 2026-03-12 21:26:13 UTC

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