EDWARD SUNGWON LEE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109991

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

SUNGWON

Last Name

LEE

Suffix

Business Name

EDWARD SUNGWON LEE DO

Original Issue Date

08/26/2003

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014