Name


Matthew David Lewellin


Status


**EXPIRED**

Expiration Date


2016-01-06

Doctor


KAROLL

DL Number


B4163226

Rec Number


6819718110665312

Pain


5

Anxiety


8

Insomnia


0

Appetite


3

Nausea


0

Office


San Bernardino

Entered by


MERK

Date First Visit


2015-01-13 01:42:53