DANIEL HOOSUP LEE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158177

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

HOOSUP

Last Name

LEE

Business Name

DANIEL HOOSUP LEE DO

Original Issue Date

08/31/2021

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

Ever Disciplined

LastModifiedDate

04/16/2023