KENNETH K LEE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036857

License Status

CANCELLED

Business

First Name

KENNETH

Middle

Last Name

LEE

Business Name

KENNETH K LEE

Original Issue Date

06/19/1997

Effective Date

06/19/1997

Expiration Date

06/30/2000

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006