ROBERT S LEE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

LEE

Business Name

ROBERT S LEE

Original Issue Date

06/11/2008

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

WAUNAKEE

State

Zip

53597

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2024