TIMOTHY S LEE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094609

License Status

NOT RENEWED

Business

First Name

TIMOTHY S

Last Name

LEE

Business Name

TIMOTHY S LEE

Original Issue Date

12/11/1996

Effective Date

12/11/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006