JESSICA GENEVIEVE LEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071712

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

GENEVIEVE

Last Name

LEE

Business Name

JESSICA GENEVIEVE LEE MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/24/2018