TRACEY LEE LEWIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005631

License Status

ACTIVE

Business

First Name

TRACEY

Middle

LEE

Last Name

LEWIS

Business Name

TRACEY LEE LEWIS

Original Issue Date

09/11/2015

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

MT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

02/10/2026