LAUREN MELISSA LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

LAUREN

Middle

MELISSA

Last Name

LEWIS

Business Name

LAUREN MELISSA LEWIS MD

Original Issue Date

12/07/2023

Effective Date

12/07/2023

Expiration Date

07/31/2026

City

SILVIS

State

Zip

61282

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/07/2023