CALVIN M LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101667

License Status

NOT RENEWED

Business

First Name

CALVIN

Middle

Last Name

LEE

Suffix

Business Name

CALVIN M LEE MD

Original Issue Date

12/02/1999

Effective Date

12/02/1999

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006