MICHAEL DAVID LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

LEE

Suffix

Business Name

MICHAEL DAVID LEE MD

Original Issue Date

08/13/2010

Effective Date

05/13/2014

Expiration Date

07/31/2017

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017