LEE EDWARD DORFMAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043171

License Status

EXPIRED

Business

First Name

LEE

Middle

EDWARD

Last Name

DORFMAN

Suffix

Business Name

LEE EDWARD DORFMAN DO

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

06/27/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006