DANIEL C LEE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

LEE

Suffix

Business Name

DANIEL C LEE MD

Original Issue Date

12/16/2022

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023