RAPHAEL C LEE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

RAPHAEL C

Last Name

LEE

Suffix

Business Name

RAPHAEL C LEE MD

Original Issue Date

01/01/1997

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023