JOHN KEVIN LEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055535

License Status

CANCELLED

Business

Title

First Name

JOHN

Middle

KEVIN

Last Name

LEE

Business Name

JOHN KEVIN LEE MD

Original Issue Date

07/17/2008

Effective Date

07/17/2008

Expiration Date

07/16/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/17/2008