DANIEL HOOSUP LEE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075040

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

HOOSUP

Last Name

LEE

Business Name

DANIEL HOOSUP LEE DO

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2022

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022