VIVIAN KIM LEE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052427

License Status

CANCELLED

Business

First Name

VIVIAN

Middle

KIM

Last Name

LEE

Business Name

VIVIAN KIM LEE

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/02/2007