OTTO K LEE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

OTTO

Middle

Last Name

LEE

Business Name

OTTO K LEE

Original Issue Date

07/03/2007

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

DEERFIELD

State

Zip

60015

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023