KIL SOO LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

KIL SOO

Last Name

LEE

Suffix

Business Name

KIL SOO LEE MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

CARROLLTON

State

Zip

62016

County

GREENE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011