KRISTIN LEE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

KRISTIN

Last Name

LEE

Suffix

Business Name

KRISTIN LEE DO

Original Issue Date

11/17/2016

Effective Date

05/21/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2023