JUNG LACK LEE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065631

License Status

INACTIVE

Business

First Name

JUNG LACK

Last Name

LEE

Suffix

Business Name

JUNG LACK LEE MD

Original Issue Date

11/09/1982

Effective Date

11/09/1982

Expiration Date

07/31/1987

City

STATEN ISLAND

State

Zip

10312

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006