KIL SOO LEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

CANCELLED

Business

First Name

KIL SOO

Last Name

LEE

Suffix

Business Name

KIL SOO LEE MD

Original Issue Date

08/17/1998

Effective Date

07/17/2008

Expiration Date

07/31/2011

City

VANDALIA

State

Zip

62471

County

FAYETTE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011