NICHOLE MICHELE LEWIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003673

License Status

ACTIVE

Business

First Name

NICHOLE

Middle

MICHELE

Last Name

LEWIS

Business Name

NICHOLE MICHELE LEWIS

Original Issue Date

12/18/2009

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

02/25/2026