THEODORE M LEE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071448

License Status

INACTIVE

Business

First Name

THEODORE M

Last Name

LEE

Suffix

Business Name

THEODORE M LEE MD

Original Issue Date

08/13/1985

Effective Date

08/13/1985

Expiration Date

07/31/1987

City

THOMASVILLE

State

Zip

31792

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006