CAROLINE KIM LEE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

CAROLINE

Middle

KIM

Last Name

LEE

Suffix

Business Name

CAROLINE KIM LEE MD

Original Issue Date

08/02/2012

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023