BRIAN J LEE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021442

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

LEE

Business Name

BRIAN J LEE

Original Issue Date

06/26/1987

Effective Date

06/26/1987

Expiration Date

07/01/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006