LEE H PECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

LEE

Middle

Last Name

PECK

Suffix

Business Name

LEE H PECK MD

Original Issue Date

01/10/2003

Effective Date

01/10/2003

Expiration Date

07/31/2005

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006