MIRA V LEE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098376

License Status

NOT RENEWED

Business

First Name

MIRA

Middle

Last Name

LEE

Business Name

MIRA V LEE

Original Issue Date

07/20/1998

Effective Date

07/20/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006