MICHAEL THOMAS LEE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137140

License Status

INACTIVE

Business

Title

First Name

MICHAEL

Middle

THOMAS

Last Name

LEE

Business Name

MICHAEL THOMAS LEE MD

Original Issue Date

01/22/2015

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CAMPBELL

State

Zip

95008

Ever Disciplined

LastModifiedDate

04/05/2020