RUSSELL DENIS LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

DENIS

Last Name

LEE

Suffix

Business Name

RUSSELL DENIS LEE MD

Original Issue Date

08/27/2001

Effective Date

08/27/2001

Expiration Date

07/31/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008