SHINE GRACE LEE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055899

License Status

INACTIVE

Business

First Name

SHINE GRACE

Last Name

LEE

Suffix

Business Name

SHINE GRACE LEE MD

Original Issue Date

10/17/1977

Effective Date

10/17/1977

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006