LEWIS RUSSELL COULSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

LEWIS

Middle

RUSSELL

Last Name

COULSON

Suffix

Business Name

LEWIS RUSSELL COULSON MD

Original Issue Date

01/01/1997

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

MIAMI BEACH

State

Zip

33139

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023