STANLEY S LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103330

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

Last Name

LEE

Suffix

Business Name

STANLEY S LEE MD

Original Issue Date

08/23/2000

Effective Date

08/23/2000

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/23/2011