THERESA M LEE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037034

License Status

EXPIRED

Business

First Name

THERESA

Middle

Last Name

LEE

Business Name

THERESA M LEE

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006