TENNYSON W LEE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147867

License Status

ACTIVE

Business

Title

First Name

TENNYSON

Middle

Last Name

LEE

Business Name

TENNYSON W LEE MD

Original Issue Date

12/12/2018

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

04/06/2023