THEODORE M LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

THEODORE M

Last Name

LEE

Suffix

Business Name

THEODORE M LEE MD

Original Issue Date

11/13/1985

Effective Date

11/13/1985

Expiration Date

07/31/1987

City

NILES

State

Zip

60648

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006