SHUISHIH SAGE LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057779

License Status

NOT RENEWED

Business

First Name

SHUISHIH SAGE

Last Name

LEE

Suffix

Business Name

SHUISHIH SAGE LEE MD

Original Issue Date

09/15/1978

Effective Date

09/15/1978

Expiration Date

07/31/1990

City

FORT WAYNE

State

Zip

46825

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006