ROBERT MARK LEE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

ROBERT MARK

Last Name

LEE

Business Name

ROBERT MARK LEE

Original Issue Date

06/09/1982

Effective Date

06/09/1982

Expiration Date

09/30/2004

City

BATAVIA

State

Zip

60510

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005