OTTO K LEE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047660

License Status

EXPIRED

Business

First Name

OTTO

Middle

Last Name

LEE

Business Name

OTTO K LEE

Original Issue Date

06/14/2004

Effective Date

06/14/2004

Expiration Date

06/13/2007

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2007