MICHAEL LEE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

Title

DMD

First Name

MICHAEL

Last Name

LEE

Business Name

MICHAEL LEE DMD

Original Issue Date

03/28/2023

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/10/2024