GARY H LEA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

LEA

Suffix

Business Name

GARY H LEA MD

Original Issue Date

11/03/1982

Effective Date

11/03/1982

Expiration Date

07/31/1990

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006