KRISTIN LEE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063146

License Status

CANCELLED

Business

First Name

KRISTIN

Last Name

LEE

Suffix

Business Name

KRISTIN LEE DO

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

03/18/2016