NICHOLE RACQUEL LEWIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167966

License Status

ACTIVE

Business

Title

First Name

NICHOLE

Middle

RACQUEL

Last Name

LEWIS

Business Name

NICHOLE RACQUEL LEWIS MD

Original Issue Date

12/14/2023

Effective Date

12/14/2023

Expiration Date

07/31/2026

City

SCARSDALE

State

Zip

10583

Ever Disciplined

LastModifiedDate

12/14/2023