EDWARD SUNGWON LEE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

SUNGWON

Last Name

LEE

Suffix

Business Name

EDWARD SUNGWON LEE DO

Original Issue Date

08/26/2003

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014