JASON ALLEN LEE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055149

License Status

EXPIRED

Business

Title

First Name

JASON

Middle

ALLEN

Last Name

LEE

Business Name

JASON ALLEN LEE DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

08/29/2012