ANDREW WILLIAM LEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056906

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

WILLIAM

Last Name

LEE

Business Name

ANDREW WILLIAM LEE MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

02/28/2012