TIMOTHY S LEE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

TIMOTHY S

Last Name

LEE

Business Name

TIMOTHY S LEE

Original Issue Date

05/29/1997

Effective Date

05/29/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006