JEONGWON LEE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086139

License Status

ACTIVE

Business

Title

First Name

JEONGWON

Last Name

LEE

Business Name

JEONGWON LEE DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/31/2025