CYNTHIA J LEE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111428

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

LEE

Business Name

CYNTHIA J LEE

Original Issue Date

05/24/2004

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

MESA

State

Zip

85213

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021