JAE KWAN LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043240

License Status

NOT RENEWED

Business

First Name

JAE KWAN

Last Name

LEE

Suffix

Business Name

JAE KWAN LEE MD

Original Issue Date

03/21/1970

Effective Date

03/21/1970

City

WORTHINGTON

State

Zip

43085

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006