MICHAEL LEE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

Title

DMD

First Name

MICHAEL

Last Name

LEE

Business Name

MICHAEL LEE DMD

Original Issue Date

08/01/2019

Effective Date

12/13/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025