TIMOTHY DAVID LEE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034908

License Status

EXPIRED

Business

First Name

TIMOTHY DAVID

Last Name

LEE

Business Name

TIMOTHY DAVID LEE

Original Issue Date

06/06/1996

Effective Date

06/06/1996

Expiration Date

06/30/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006