LEE H PECK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041942

License Status

EXPIRED

Business

First Name

LEE

Middle

Last Name

PECK

Suffix

Business Name

LEE H PECK MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

DECATUR

State

Zip

62526

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006