JOSEPH LEE MEDELLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

JOSEPH

Middle

LEE

Last Name

MEDELLIN

Business Name

JOSEPH LEE MEDELLIN MD

Original Issue Date

03/10/2017

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021