KENTON LEE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028283

License Status

EXPIRED

Business

First Name

KENTON

Last Name

LEE

Suffix

Business Name

KENTON LEE MD

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

06/30/1995

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006