VIVIEN H LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116821

License Status

NOT RENEWED

Business

First Name

VIVIEN

Middle

Last Name

LEE

Suffix

Business Name

VIVIEN H LEE MD

Original Issue Date

08/25/2006

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017