LEWIS RUSSELL COULSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043298

License Status

ACTIVE

Business

First Name

LEWIS

Middle

RUSSELL

Last Name

COULSON

Suffix

Business Name

LEWIS RUSSELL COULSON MD

Original Issue Date

06/30/1970

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

MIAMI BEACH

State

Zip

33139

Ever Disciplined

LastModifiedDate

05/05/2023