JUSTIN LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144067

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Last Name

LEE

Business Name

JUSTIN LEE MD

Original Issue Date

08/10/2017

Effective Date

08/10/2017

Expiration Date

09/30/2020

City

WEST HARTFORD

State

Zip

06119

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

01/14/2021