JAE CHAN LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052017

License Status

NOT RENEWED

Business

First Name

JAE CHAN

Last Name

LEE

Suffix

Business Name

JAE CHAN LEE MD

Original Issue Date

10/17/1975

Effective Date

10/17/1975

Expiration Date

07/31/2005

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006