ANGELA NICOLE LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157627

License Status

ACTIVE

Business

Title

First Name

ANGELA

Middle

NICOLE

Last Name

LEWIS

Business Name

ANGELA NICOLE LEWIS MD

Original Issue Date

07/08/2021

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

04/18/2023