GRACE LEE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083042

License Status

ACTIVE

Business

Title

First Name

GRACE

Last Name

LEE

Business Name

GRACE LEE MD

Original Issue Date

07/13/2023

Effective Date

07/13/2023

Expiration Date

07/12/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

07/13/2023