KENNETH GEORGE LIE MD - Medical Doctor License in Oregon | # 125040056

KENNETH GEORGE LIE MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040056

License Status

CANCELLED

Business

N

First Name

KENNETH

Middle

GEORGE

Last Name

LIE

Suffix

MD

Business Name

KENNETH GEORGE LIE MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

State

OR

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006