RUSSELL M LEE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014920

License Status

EXPIRED

Business

First Name

RUSSELL M

Last Name

LEE

Suffix

Business Name

RUSSELL M LEE MD

Original Issue Date

08/23/1982

Effective Date

08/23/1982

Expiration Date

06/28/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006