LEE JENKYNS SECRIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113351

License Status

NOT RENEWED

Business

First Name

LEE

Middle

JENKYNS

Last Name

SECRIST

Suffix

Business Name

LEE JENKYNS SECRIST MD

Original Issue Date

03/28/2005

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

COEUR D ALENE

State

Zip

83814

County

IDAHO

Ever Disciplined

LastModifiedDate

11/17/2014