LANE M LEE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091336

License Status

NOT RENEWED

Business

First Name

LANE M

Last Name

LEE

Suffix

Business Name

LANE M LEE DO

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

07/31/1999

City

PITTSBURG

State

Zip

66762

County

KANSAS

Ever Disciplined

LastModifiedDate

05/25/2011