SAMUEL S K LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

S K

Last Name

LEE

Suffix

Business Name

SAMUEL S K LEE MD

Original Issue Date

09/07/2007

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020