DONALD LEE JEROME MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

DONALD LEE

Last Name

JEROME

Suffix

Business Name

DONALD LEE JEROME MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006