JONG MAN LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062206

License Status

NOT RENEWED

Business

First Name

JONG MAN

Last Name

LEE

Suffix

Business Name

JONG MAN LEE MD

Original Issue Date

06/02/1981

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014