TRACEY LEE LEWIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

ACTIVE

Business

First Name

TRACEY

Middle

LEE

Last Name

LEWIS

Business Name

TRACEY LEE LEWIS

Original Issue Date

10/07/2015

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026