DAVID A LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

LEE

Suffix

Business Name

DAVID A LEE MD

Original Issue Date

04/16/2007

Effective Date

04/16/2007

Expiration Date

07/31/2008

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008