MICHAEL THOMAS LEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059654

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

THOMAS

Last Name

LEE

Business Name

MICHAEL THOMAS LEE MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/30/2015

City

OAKLAND

State

Zip

94611

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014