KENNETH K W LEE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012369

License Status

EXPIRED

Business

First Name

KENNETH K W

Last Name

LEE

Suffix

Business Name

KENNETH K W LEE MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/25/1983

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006