PHILLIP LEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

CANCELLED

Business

First Name

PHILLIP

Last Name

LEE

Suffix

Business Name

PHILLIP LEE MD

Original Issue Date

10/28/1981

Effective Date

10/28/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006