ANGELA RICELLE LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

ANGELA

Middle

RICELLE

Last Name

LEWIS

Business Name

ANGELA RICELLE LEWIS MD

Original Issue Date

09/16/2013

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

LAFAYETTE

State

Zip

70506

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023