ROBERT M LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

ROBERT M

Last Name

LEE

Suffix

Business Name

ROBERT M LEE MD

Original Issue Date

11/07/2007

Effective Date

07/23/2020

Expiration Date

07/31/2023

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023