JI EUN LEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000760

License Status

CANCELLED

Business

Title

First Name

Middle

EUN

Last Name

LEE

Business Name

JI EUN LEE MD

Original Issue Date

11/20/2017

Effective Date

11/20/2017

Expiration Date

04/19/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/15/2018