LAWRENCE LEE JECKEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

LAWRENCE LEE

Last Name

JECKEL

Suffix

Business Name

LAWRENCE LEE JECKEL MD

Original Issue Date

07/30/1982

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023