ANTHONY LEE SAN DIEGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

LEE

Last Name

SAN DIEGO

Suffix

Business Name

ANTHONY LEE SAN DIEGO MD

Original Issue Date

06/06/2001

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

GIBSON CITY

State

Zip

60936

County

FORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023