LEE H PECK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108230

License Status

NOT RENEWED

Business

First Name

LEE

Middle

Last Name

PECK

Suffix

Business Name

LEE H PECK MD

Original Issue Date

12/02/2002

Effective Date

12/02/2002

Expiration Date

07/31/2005

City

TINTON FALLS

State

Zip

07724

Ever Disciplined

LastModifiedDate

07/02/2008