J ELICA KANG-LEE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****94

NOT RENEWED

N

J ELICA

KANG-LEE

MD

J ELICA KANG-LEE MD

08/12/1987

08/12/1987

07/31/1990

CHICAGO

IL

60653

COOK

II III IV V

N

09/26/2006