BAK MOO LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043847

License Status

NOT RENEWED

Business

First Name

BAK MOO

Last Name

LEE

Suffix

Business Name

BAK MOO LEE MD

Original Issue Date

10/02/1970

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/17/2014