KRISTIN JIYOUNG LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

JIYOUNG

Last Name

LEE

Suffix

Business Name

KRISTIN JIYOUNG LEE MD

Original Issue Date

06/13/2018

Effective Date

06/13/2018

Expiration Date

09/30/2020

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021