LISA R LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086809

License Status

NOT RENEWED

Business

First Name

LISA R

Last Name

LEE

Suffix

Business Name

LISA R LEE MD

Original Issue Date

07/17/1993

Effective Date

07/17/1993

Expiration Date

07/31/1996

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/13/2010