JOSEPH LEE MEDELLIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066571

License Status

CANCELLED

Business

Title

First Name

JOSEPH

Middle

LEE

Last Name

MEDELLIN

Business Name

JOSEPH LEE MEDELLIN MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/15/2015